SAMANTHA AMBER BALKCOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041459633

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021