SAMANTHA N PETTY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209026134

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

PETTY

Business Name

SAMANTHA N PETTY

Original Issue Date

10/08/2022

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

DIXON

State

Zip

61021

Ever Disciplined

LastModifiedDate

03/18/2026