SAMUEL H CANNON JR Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010990

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

Last Name

CANNON

Suffix

Business Name

SAMUEL H CANNON JR

Original Issue Date

11/18/2013

Effective Date

04/29/2014

Expiration Date

05/31/2016

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

07/11/2016