PENNY JO FREDERICKS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100052

License Status

NOT RENEWED

Business

First Name

PENNY JO

Last Name

FREDERICKS

Business Name

PENNY JO FREDERICKS

Original Issue Date

07/08/2005

Effective Date

07/08/2005

Expiration Date

01/31/2007

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

03/20/2007