SAMANTHA N PETTY Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041385818

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

PETTY

Business Name

SAMANTHA N PETTY

Original Issue Date

07/20/2010

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

DIXON

State

Zip

61021

Ever Disciplined

LastModifiedDate

03/18/2026