License holder summary

MIRIAM LOIS MATHIS FREDERICK is a Nursing - Licensed Practical Nurse licensed to practice in Florida. The address on file for MIRIAM LOIS MATHIS FREDERICK is 54 EAST ARCH DRIVE LAKE WORTH,FL33467-4902 UNITED STATES. This nurse license is current. The license was granted 12/06/1976 and expired on 07/31/2017.

Secretary of State

Board of Nursing

MIRIAM LOIS MATHIS FREDERICK
Nursing - Licensed Practical Nurse
License number
PN417101
Date granted
12/06/1976
Date expires
07/31/2017
Class
Nursing - Licensed Practical Nurse
Status
Active
Address
54 EAST ARCH DRIVE LAKE WORTH,FL33467-4902 UNITED STATES
nursingflorida.org
ID 31994004
LAST UPDATED 2026-03-31 13:02:59 UTC

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