LISSA J DIEFENDORF Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008169

License Status

ACTIVE

Business

First Name

LISSA J

Last Name

DIEFENDORF

Business Name

LISSA J DIEFENDORF

Original Issue Date

05/26/2010

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

03/02/2026