LANCE RAYMOND FREDRICKSON
Advanced Practice Nurse
Illinois 209007323 Not Renewed
This Illinois license was held by LANCE RAYMOND FREDRICKSON. The license is no longer active. It was granted on 10/28/2008 and expired on 05/31/2010
LICENSE DETAILS
- License Number: 209007323
- Category: ADVANCED PRACTICE NURSE
- Status: Not Renewed
- Date Granted: 10/28/2008 (over 17 years ago)
- Expiry Date: 05/31/2010 (about 16 years ago)
LOCATIONS
A Address
Columbia, MO 65201-7161