SAMUEL T ASSAM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209024296

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

Last Name

ASSAM

Business Name

SAMUEL T ASSAM

Original Issue Date

11/05/2021

Effective Date

04/10/2024

Expiration Date

05/31/2026

City

FRANKFORT

State

Zip

60423

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/02/2026