MA ANGELA R DIFANIS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

INACTIVE

Business

First Name

MA ANGELA

Middle

Last Name

DIFANIS

Business Name

MA ANGELA R DIFANIS

Original Issue Date

01/17/2003

Effective Date

03/27/2024

Expiration Date

05/31/2026

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/20/2024