SAMANTHA ARIEL POTTORF Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041433855

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

ARIEL

Last Name

POTTORF

Business Name

SAMANTHA ARIEL POTTORF

Original Issue Date

08/11/2015

Effective Date

04/16/2018

Expiration Date

09/30/2020

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/14/2021