License holder summary

CARLIE ANN FREDERICK is a Certified Registered Nurse Practitioner licensed to practice in Pennsylvania. The address on file for CARLIE ANN FREDERICK is Jackson TN 38305. This licensed professional license is not current. The license was granted 10/25/2012 and expired on 10/31/2013.

Pennsylvania

Department of State

CARLIE ANN FREDERICK
Certified Registered Nurse Practitioner
License number
SP012467
Date granted
10/25/2012
Date expires
10/31/2013
Class
Certified Registered Nurse Practitioner
Status
Expired
Address
Jackson TN 38305
palicensing.org
ID 37703144
LAST UPDATED 2024-05-03 06:30:13 UTC

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