SAMANTHA M WALTON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

INACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

WALTON

Business Name

SAMANTHA M WALTON

Original Issue Date

10/30/2019

Effective Date

05/27/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/27/2020