JUDITH A SAMUELSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041116360

License Status

NOT RENEWED

Business

First Name

JUDITH A

Last Name

SAMUELSON

Business Name

JUDITH A SAMUELSON

Original Issue Date

12/15/1965

Effective Date

05/15/2020

Expiration Date

08/31/2022

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/14/2022