CARRISSIA ASHFELD SEMONE HOLLOWAY Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

INOPERATIVE

Business

First Name

CARRISSIA

Middle

ASHFELD SEMONE

Last Name

HOLLOWAY

Business Name

CARRISSIA ASHFELD SEMONE HOLLOWAY

Original Issue Date

07/09/2014

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/08/2020