MOLLY SAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041344971

License Status

NOT RENEWED

Business

First Name

MOLLY

Last Name

SAM

Business Name

MOLLY SAM

Original Issue Date

03/18/2005

Effective Date

04/07/2010

Expiration Date

05/31/2012

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

04/01/2025