COLLEEN MARGARET NAKAMURA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001989

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

MARGARET

Last Name

NAKAMURA

Business Name

COLLEEN MARGARET NAKAMURA

Original Issue Date

02/24/2003

Effective Date

02/24/2003

Expiration Date

03/01/2006

City

NEWPORT NEWS

State

Zip

23609

Ever Disciplined

LastModifiedDate

08/14/2007

Case Number

2007002755

Action

Refuse To Renew

Discipline Start Date

08/14/2007

Discipline Reason

after being disciplined in the state of Virginia.