LANCE RAYMOND FREDRICKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041330573

License Status

NOT RENEWED

Business

First Name

LANCE

Middle

RAYMOND

Last Name

FREDRICKSON

Business Name

LANCE RAYMOND FREDRICKSON

Original Issue Date

07/02/2002

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/16/2010