FRED O FREDRICKS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070143

License Status

INACTIVE

Business

First Name

FRED O

Last Name

FREDRICKS

Business Name

FRED O FREDRICKS

Original Issue Date

06/13/1991

Effective Date

02/03/2005

Expiration Date

01/31/2005

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005