MA ANGELA R DIFANIS

Business Entity
ACTIVE

Advanced Practice Nurse

FULL PRACTICE AUTHORITY APRN CONTROL SUB

37*****00

ACTIVE

N

MA ANGELA

R

DIFANIS

MA ANGELA R DIFANIS

12/20/2024

12/20/2024

05/31/2026

MAHOMET

IL

61853

CHAMPAIGN

N

03/02/2026