KEZIA ANNE MONTILLA JUSAYAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041445046

License Status

NOT RENEWED

Business

First Name

KEZIA ANNE

Middle

MONTILLA

Last Name

JUSAYAN

Business Name

KEZIA ANNE MONTILLA JUSAYAN

Original Issue Date

08/12/2016

Effective Date

05/04/2022

Expiration Date

06/30/2024

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

02/05/2025