SAMANTHA J GATEWOOD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

INACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

GATEWOOD

Business Name

SAMANTHA J GATEWOOD

Original Issue Date

03/15/2021

Effective Date

06/14/2022

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

06/14/2022