SAMANTHA R CHARLES Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

CHARLES

Business Name

SAMANTHA R CHARLES

Original Issue Date

12/10/2020

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60611

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026