ANDREA R SAMUEL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041250471

License Status

NOT RENEWED

Business

First Name

ANDREA R

Last Name

SAMUEL

Business Name

ANDREA R SAMUEL

Original Issue Date

10/26/1988

Effective Date

10/26/1988

Expiration Date

05/31/1992

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006