SAMANTHA JAE SHORE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209033982

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

JAE

Last Name

SHORE

Business Name

SAMANTHA JAE SHORE

Original Issue Date

11/16/2025

Effective Date

11/16/2025

Expiration Date

05/31/2026

City

CEDAR LAKE

State

Zip

46303

Ever Disciplined

LastModifiedDate

03/02/2026