SAMANTHA K NOETH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

INACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

NOETH

Business Name

SAMANTHA K NOETH

Original Issue Date

01/25/2019

Effective Date

05/24/2022

Expiration Date

05/31/2024

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023