License holder summary

Lisa M. Fredericksen is a Registered Nurse licensed to practice in Indiana. The address on file for Lisa M. Fredericksen is Plymouth MN 55447. This nurse license is not current. The license was granted 08/31/1987 and expired on 10/31/2001.

Indiana

State Board of Nursing

Lisa M. Fredericksen
Registered Nurse
License number
28099842A
Date granted
08/31/1987
Date expires
10/31/2001
Class
Registered Nurse
Status
Expired
Address
Plymouth MN 55447
nursingindiana.org
ID 8234114
LAST UPDATED 2024-03-29 17:08:14 UTC

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