SAMANTHA R FRIED Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

FRIED

Business Name

SAMANTHA R FRIED

Original Issue Date

01/03/2019

Effective Date

03/11/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026