SAMANTHA DION RICHARDSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

DION

Last Name

RICHARDSON

Business Name

SAMANTHA DION RICHARDSON

Original Issue Date

12/16/2020

Effective Date

05/06/2022

Expiration Date

06/30/2024

City

COLUMBIA

State

Zip

62236

County

MONROE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025