DARIA D SAMPLER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

NOT RENEWED

Business

First Name

DARIA

Middle

Last Name

SAMPLER

Business Name

DARIA D SAMPLER

Original Issue Date

07/29/2020

Effective Date

08/18/2022

Expiration Date

06/30/2024

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025