SAMSON N WAGACHA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041400859

License Status

NOT RENEWED

Business

First Name

SAMSON

Middle

Last Name

WAGACHA

Business Name

SAMSON N WAGACHA

Original Issue Date

04/18/2012

Effective Date

03/21/2018

Expiration Date

09/30/2020

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/14/2021