CHARISSE LIZ BASTE TREECE MD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041397386

License Status

NOT RENEWED

Business

Title

First Name

CHARISSE

Middle

LIZ BASTE

Last Name

TREECE

Business Name

CHARISSE LIZ BASTE TREECE MD

Original Issue Date

10/13/2011

Effective Date

04/21/2020

Expiration Date

08/31/2022

City

LOS ANGELES

State

Zip

90025

Ever Disciplined

LastModifiedDate

10/14/2022