SAMANTHA L GREENWALD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

GREENWALD

Business Name

SAMANTHA L GREENWALD

Original Issue Date

04/26/2024

Effective Date

04/26/2024

Expiration Date

05/31/2026

City

DEKALB

State

Zip

60115

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026