KELLIE M O TAKASHIMA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013188

License Status

NOT RENEWED

Business

First Name

KELLIE

Middle

M O

Last Name

TAKASHIMA

Business Name

KELLIE M O TAKASHIMA

Original Issue Date

08/21/2015

Effective Date

05/28/2020

Expiration Date

08/31/2022

City

AIEA

State

Zip

96701

Ever Disciplined

LastModifiedDate

10/14/2022