SAMANTHA KAYE WYATT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

KAYE

Last Name

WYATT

Business Name

SAMANTHA KAYE WYATT

Original Issue Date

09/16/2020

Effective Date

03/03/2024

Expiration Date

05/31/2026

City

NAPERVILLE

State

Zip

60564

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026