KAREN SOFIE SAMUELS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

NOT RENEWED

Business

First Name

KAREN

Middle

SOFIE

Last Name

SAMUELS

Business Name

KAREN SOFIE SAMUELS

Original Issue Date

04/21/2006

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012