NameFREDERICK ALLEN JEWELL
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
IP.408267-ENDS Practical Nurse - Temporary Work Permit 05/09/2007 05/09/2007 11/09/2007 CLOSED License Issued
PN.126568-MEDS Licensed Practical Nurse - MEDS 07/16/2007 07/16/2007 08/31/2008 INACTIVE Endorsement

Comments


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