MA ANGELA R DIFANIS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004432

License Status

INACTIVE

Business

First Name

MA ANGELA

Middle

Last Name

DIFANIS

Business Name

MA ANGELA R DIFANIS

Original Issue Date

08/21/2002

Effective Date

03/27/2024

Expiration Date

05/31/2026

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/20/2024