CAROL ANN FREDERICKS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041099418

License Status

INACTIVE

Business

First Name

CAROL ANN

Last Name

FREDERICKS

Business Name

CAROL ANN FREDERICKS

Original Issue Date

04/03/1961

Effective Date

04/03/1961

Expiration Date

05/31/1984

City

AVOCA

State

Zip

53506

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006