SAMANTHA J FORD Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041467585

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

FORD

Business Name

SAMANTHA J FORD

Original Issue Date

08/03/2018

Effective Date

06/25/2024

Expiration Date

05/31/2026

City

TABLE GROVE

State

Zip

61482

Ever Disciplined

LastModifiedDate

03/01/2026