LARRY R SAMUELSON - Registered Nurse License in Georgia | # 043107841

LARRY R SAMUELSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043107841

License Status

NOT RENEWED

Business

N

First Name

LARRY

Middle

R

Last Name

SAMUELSON

Business Name

LARRY R SAMUELSON

Original Issue Date

04/06/2009

Effective Date

04/06/2009

Expiration Date

01/31/2011

State

GA

Ever Disciplined

N

LastModifiedDate

03/10/2011