TAJUAN LASHA RICHARDSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

NOT RENEWED

Business

First Name

TAJUAN

Middle

LASHA

Last Name

RICHARDSON

Business Name

TAJUAN LASHA RICHARDSON

Original Issue Date

10/15/2019

Effective Date

08/18/2022

Expiration Date

06/30/2024

City

INDIANAPOLIS

State

Zip

46240

County

RANDOLPH

Ever Disciplined

LastModifiedDate

02/05/2025