SAM FAASS Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041504830

License Status

ACTIVE

Business

First Name

SAM

Last Name

FAASS

Business Name

SAM FAASS

Original Issue Date

01/27/2021

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61614

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/11/2026