SAMANTHA VIVIAN LY - Advanced Practice Nurse License in California | # 209031566

SAMANTHA VIVIAN LY

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209031566

License Status

ACTIVE

Business

N

First Name

SAMANTHA

Middle

VIVIAN

Last Name

LY

Business Name

SAMANTHA VIVIAN LY

Original Issue Date

02/03/2025

Effective Date

04/08/2026

Expiration Date

05/31/2028

State

CA

Ever Disciplined

N

LastModifiedDate

04/08/2026