SAMANTHA MARIE JUCKEM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041418628

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

MARIE

Last Name

JUCKEM

Business Name

SAMANTHA MARIE JUCKEM

Original Issue Date

03/07/2014

Effective Date

09/09/2020

Expiration Date

08/31/2022

City

PAW PAW

State

Zip

61353

County

KENDALL

Ever Disciplined

LastModifiedDate

10/14/2022