PHILIP F KISAKA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041560010

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

Last Name

KISAKA

Business Name

PHILIP F KISAKA

Original Issue Date

02/14/2024

Effective Date

02/14/2024

Expiration Date

06/30/2024

City

BOWIE

State

Zip

20721

Ever Disciplined

LastModifiedDate

02/05/2025