SAMUEL STEVEN CLEMENTZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041155437

License Status

INACTIVE

Business

First Name

SAMUEL STEVEN

Last Name

CLEMENTZ

Business Name

SAMUEL STEVEN CLEMENTZ

Original Issue Date

09/11/1974

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

03/08/2020