MA SHAZA L OMANDAM Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041543376

License Status

ACTIVE

Business

First Name

MA SHAZA

Middle

Last Name

OMANDAM

Business Name

MA SHAZA L OMANDAM

Original Issue Date

05/03/2023

Effective Date

06/28/2024

Expiration Date

05/31/2026

City

JOHNSON CITY

State

Zip

37601

Ever Disciplined

LastModifiedDate

03/01/2026