SAMANTHA L CERQUA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022168

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

CERQUA

Business Name

SAMANTHA L CERQUA

Original Issue Date

10/06/2020

Effective Date

10/06/2020

Expiration Date

08/31/2022

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Specialty/Qualifier

DOCTORATE

Ever Disciplined

LastModifiedDate

10/14/2022