LISA M FRIEBOHLE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****47

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

FRIEBOHLE

Business Name

LISA M FRIEBOHLE

Original Issue Date

12/15/2014

Effective Date

09/14/2020

Expiration Date

05/31/2022

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

09/14/2020