SAMUEL FORREST ROSS Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041466549

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

FORREST

Last Name

ROSS

Business Name

SAMUEL FORREST ROSS

Original Issue Date

07/17/2018

Effective Date

06/23/2024

Expiration Date

05/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

03/01/2026