JULIE KAZUKO MIYAMASU Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005257

License Status

INACTIVE

Business

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

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/08/2020