KELLIE FRISSORA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021129

License Status

ACTIVE

Business

First Name

KELLIE

Last Name

FRISSORA

Business Name

KELLIE FRISSORA

BusinessDBA

LODGE

Original Issue Date

04/02/2020

Effective Date

05/28/2024

Expiration Date

05/31/2026

City

VIRIGINA BEACH

State

Zip

23456

Ever Disciplined

LastModifiedDate

03/02/2026