LANAY LORENE SAMUELSON - Advanced Practice Nurse License in Illinois | # 209009594

LANAY LORENE SAMUELSON

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009594

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025