NICHOLAS P SAMULEVICH Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041396443

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

Last Name

SAMULEVICH

Business Name

NICHOLAS P SAMULEVICH

Original Issue Date

09/06/2011

Effective Date

04/19/2024

Expiration Date

05/31/2026

City

WEST PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

03/01/2026