JANE K SAMUELS Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****89

License Status

INOPERATIVE

Business

First Name

JANE

Middle

Last Name

SAMUELS

Business Name

JANE K SAMUELS

Original Issue Date

04/23/2008

Effective Date

06/17/2024

Expiration Date

05/31/2026

City

PALATINE

State

Zip

60004

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2024