JULIE KAZUKO MIYAMASU Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****71

License Status

INACTIVE

Business

First Name

JULIE

Middle

KAZUKO

Last Name

MIYAMASU

Business Name

JULIE KAZUKO MIYAMASU

Original Issue Date

11/09/2004

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

LYONS

State

Zip

60534

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020