SAMANTHA AMBER BALKCOM - Registered Nurse License in Illinois | # 041459633

SAMANTHA AMBER BALKCOM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041459633

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

AMBER

Last Name

BALKCOM

Business Name

SAMANTHA AMBER BALKCOM

Original Issue Date

10/27/2017

Effective Date

05/03/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021