ERIC E SAMUELSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041414885

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

Last Name

SAMUELSON

Business Name

ERIC E SAMUELSON

Original Issue Date

09/05/2013

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021