SAMANTHA R KAUCHAK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209026147

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

KAUCHAK

Business Name

SAMANTHA R KAUCHAK

Original Issue Date

10/12/2022

Effective Date

03/20/2024

Expiration Date

05/31/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/02/2026