TINA M DIBOFO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209034913

License Status

ACTIVE

Business

First Name

TINA

Middle

Last Name

DIBOFO

Business Name

TINA M DIBOFO

Original Issue Date

03/02/2026

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/02/2026