SAMUEL LEE HENNON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041178453

License Status

NOT RENEWED

Business

First Name

SAMUEL LEE

Last Name

HENNON

Business Name

SAMUEL LEE HENNON

Original Issue Date

09/09/1977

Effective Date

05/17/2018

Expiration Date

09/30/2020

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021