SANDRA S SAMPLES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041301894

License Status

NOT RENEWED

Business

First Name

SANDRA S

Last Name

SAMPLES

Business Name

SANDRA S SAMPLES

Original Issue Date

02/22/1997

Effective Date

05/10/2010

Expiration Date

05/31/2012

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

07/10/2012

Case Number

1998016357

Action

Suspension

Discipline Start Date

08/13/1999

Discipline End Date

11/12/1999

Discipline Reason

Diverting Demerol from her employer in violation of an employee assistance program contract.