SAMANTHA L CERQUA - Advanced Practice Nurse License in Illinois | # 209022168

SAMANTHA L CERQUA

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022168

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

L

Last Name

CERQUA

Business Name

SAMANTHA L CERQUA

Original Issue Date

10/06/2020

Effective Date

10/06/2020

Expiration Date

08/31/2022

State

IL

Specialty/Qualifier

DOCTORATE

Ever Disciplined

N

LastModifiedDate

10/14/2022