SAMANTHA LANE BROCKSMITH - Registered Nurse License in Washington | # 041536440

SAMANTHA LANE BROCKSMITH

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041536440

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

LANE

Last Name

BROCKSMITH

Business Name

SAMANTHA LANE BROCKSMITH

Original Issue Date

12/17/2022

Effective Date

12/17/2022

Expiration Date

06/30/2024

State

WA

Ever Disciplined

N

LastModifiedDate

02/05/2025