LARRY R SAMUELSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043107841

License Status

NOT RENEWED

Business

First Name

LARRY

Middle

Last Name

SAMUELSON

Business Name

LARRY R SAMUELSON

Original Issue Date

04/06/2009

Effective Date

04/06/2009

Expiration Date

01/31/2011

City

AUGUSTA

State

Zip

30909

County

GEORGIA

Ever Disciplined

LastModifiedDate

03/10/2011