Department of Public Health
Board of Nursing
LISA FREDERICKSEN
Registered Nurse
License number
78064
Date granted
03/22/2006
Date expires
09/30/2014
Class
Registered Nurse
Status
Active
Address
117 BROOKMOOR RD, Hartford, WEST HARTFORD, CT, 06107-3108
nursingct.org
ID 4455756
LAST UPDATED 2026-03-19 05:35:20 UTC
LAST UPDATED 2026-03-19 05:35:20 UTC
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