SAMANTHA ALEXANDRIA COLLINS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

INACTIVE

Business

First Name

SAMANTHA

Middle

ALEXANDRIA

Last Name

COLLINS

Business Name

SAMANTHA ALEXANDRIA COLLINS

Original Issue Date

09/01/2016

Effective Date

09/01/2016

Expiration Date

05/31/2018

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

08/30/2016