MARY POLY SAMUEL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041166260

License Status

NOT RENEWED

Business

First Name

MARY POLY

Last Name

SAMUEL

Business Name

MARY POLY SAMUEL

Original Issue Date

03/19/1976

Effective Date

04/07/2014

Expiration Date

05/31/2016

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/11/2016