SAMANTHA ELIZABETH KAMP Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

ELIZABETH

Last Name

KAMP

Business Name

SAMANTHA ELIZABETH KAMP

Original Issue Date

05/15/2017

Effective Date

05/09/2018

Expiration Date

09/30/2020

City

RED BUD

State

Zip

62278

County

RANDOLPH

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021