MAE SAMPLE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041175797

License Status

ACTIVE

Business

First Name

MAE

Last Name

SAMPLE

Business Name

MAE SAMPLE

Original Issue Date

10/12/1977

Effective Date

03/23/2026

Expiration Date

05/31/2028

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/23/2026