SAMANTHA J ROUTH Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041404140

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

ROUTH

Business Name

SAMANTHA J ROUTH

Original Issue Date

08/01/2012

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

LACON

State

Zip

61540

County

PEORIA

Ever Disciplined

LastModifiedDate

02/28/2026