SUSAN FREDERICK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043029264

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

FREDERICK

Business Name

SUSAN FREDERICK

Original Issue Date

11/01/1971

Effective Date

12/05/2012

Expiration Date

01/31/2015

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/09/2015