SAMUEL H ALOG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041143265

License Status

INACTIVE

Business

First Name

SAMUEL H

Last Name

ALOG

Business Name

SAMUEL H ALOG

Original Issue Date

04/11/1972

Effective Date

03/30/2010

Expiration Date

05/31/2012

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2012