KAREN SOFIE SAMUELS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

NOT RENEWED

Business

First Name

KAREN

Middle

SOFIE

Last Name

SAMUELS

Business Name

KAREN SOFIE SAMUELS

Original Issue Date

10/26/2005

Effective Date

10/26/2005

Expiration Date

05/31/2006

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006