LANAY LORENE SAMUELSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009594

License Status

NOT RENEWED

Business

First Name

LANAY

Middle

LORENE

Last Name

SAMUELSON

Business Name

LANAY LORENE SAMUELSON

Original Issue Date

06/13/2012

Effective Date

05/04/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025