CARMEN YOLANDA SAMPALLI Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041341024

License Status

NOT RENEWED

Business

First Name

CARMEN

Middle

YOLANDA

Last Name

SAMPALLI

Business Name

CARMEN YOLANDA SAMPALLI

Original Issue Date

07/20/2004

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/16/2010