SHIRLEY R FEDRICK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041262042

License Status

INACTIVE

Business

First Name

SHIRLEY R

Last Name

FEDRICK

Business Name

SHIRLEY R FEDRICK

Original Issue Date

04/22/1991

Effective Date

04/22/1991

Expiration Date

05/31/2006

City

HAMMOND

State

Zip

46323

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006