JULIE KAZUKO MIYAMASU - Advanced Practice Nurse License in Illinois | # 209005257

JULIE KAZUKO MIYAMASU

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005257

License Status

INACTIVE

Business

N

First Name

JULIE

Middle

KAZUKO

Last Name

MIYAMASU

Business Name

JULIE KAZUKO MIYAMASU

Original Issue Date

08/30/2004

Effective Date

03/13/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

03/08/2020