LISA MARIE TREVINO

Business Entity
ACTIVE

Advanced Practice Nurse

FULL PRACTICE AUTHORITY APRN CONTROL SUB

37*****09

ACTIVE

N

LISA

MARIE

TREVINO

LISA MARIE TREVINO

10/15/2024

10/15/2024

05/31/2026

FRANKFORT

IL

60423

WILL

N

03/02/2026