SAMANTHA H COHEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****49

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

COHEN

Business Name

SAMANTHA H COHEN

Original Issue Date

10/22/2014

Effective Date

03/20/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61705

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026