KIMBERLY FAUKE KAKOOZA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

FAUKE

Last Name

KAKOOZA

Business Name

KIMBERLY FAUKE KAKOOZA

Original Issue Date

03/05/2019

Effective Date

05/02/2022

Expiration Date

05/31/2024

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

03/31/2023