MARY ELLEN SAMPLE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041171193

License Status

ACTIVE

Business

First Name

MARY ELLEN

Last Name

SAMPLE

Business Name

MARY ELLEN SAMPLE

Original Issue Date

11/01/1976

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

02/28/2026