JOLLY E SAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041222198

License Status

NOT RENEWED

Business

First Name

JOLLY E

Last Name

SAM

Business Name

JOLLY E SAM

Original Issue Date

04/25/1984

Effective Date

04/04/2012

Expiration Date

05/31/2014

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/03/2014