Su Lynn Frederickson

Health Facility Admin Board - Preceptor Eligible

Indiana  15003189A   Active

This Indiana license is held by Su Lynn Frederickson. The license is currently active. It was granted on 02/07/2003 and expired on 02/17/2015

LICENSE DETAILS

  • License Number: 15003189A
  • Category: Preceptor Eligible
  • Status: Active
  • Date Granted: 02/07/2003 (about 22 years ago)
  • Expiry Date: 02/17/2015 (about 10 years ago)

LOCATIONS

A Address

Bloomington IN 47404