CHARLES R SAMUEL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021993

License Status

ACTIVE

Business

First Name

CHARLES

Middle

Last Name

SAMUEL

Business Name

CHARLES R SAMUEL

Original Issue Date

09/14/2020

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

MOUNT PROSPECT

State

Zip

60056

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/02/2026