CORLISS M FRIDGE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085968

License Status

NOT RENEWED

Business

First Name

CORLISS

Middle

Last Name

FRIDGE

Business Name

CORLISS M FRIDGE

Original Issue Date

03/06/2001

Effective Date

01/05/2015

Expiration Date

01/31/2017

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

03/27/2017