COLLEEN MARGARET NAKAMURA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

MARGARET

Last Name

NAKAMURA

Business Name

COLLEEN MARGARET NAKAMURA

Original Issue Date

04/01/2003

Effective Date

04/01/2003

Expiration Date

03/01/2006

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/09/2006