SAMANTHA R CHARLES Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****48

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

CHARLES

Business Name

SAMANTHA R CHARLES

Original Issue Date

03/24/2023

Effective Date

03/24/2023

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025