KAMALA DJUANA VIA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209017094

License Status

NOT RENEWED

Business

First Name

KAMALA

Middle

DJUANA

Last Name

VIA

Business Name

KAMALA DJUANA VIA

Original Issue Date

01/09/2018

Effective Date

03/19/2018

Expiration Date

09/30/2020

City

CATONSVILLE

State

Zip

21228

Ever Disciplined

LastModifiedDate

01/14/2021