SAMANTHA ELIZABETH MARTIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016227

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

ELIZABETH

Last Name

MARTIN

Business Name

SAMANTHA ELIZABETH MARTIN

Original Issue Date

08/01/2017

Effective Date

04/16/2018

Expiration Date

09/30/2020

City

EUREKA

State

Zip

61530

County

WOODFORD

Ever Disciplined

LastModifiedDate

01/14/2021