DANITA TAMARA CUSTIS Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041508925

License Status

ACTIVE

Business

First Name

DANITA

Middle

TAMARA

Last Name

CUSTIS

Business Name

DANITA TAMARA CUSTIS

Original Issue Date

05/06/2021

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

PARKVILLE

State

Zip

21234

Ever Disciplined

LastModifiedDate

03/02/2026