LISA M FRIEBOHLE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012200

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

FRIEBOHLE

Business Name

LISA M FRIEBOHLE

Original Issue Date

11/12/2014

Effective Date

09/14/2020

Expiration Date

05/31/2022

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/14/2020