LORI A DE FREESE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

ACTIVE

Business

First Name

LORI A

Last Name

DE FREESE

Business Name

LORI A DE FREESE

Original Issue Date

10/31/2016

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61614

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026