SAMANTHA L MOULTON Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041512712

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

MOULTON

Business Name

SAMANTHA L MOULTON

Original Issue Date

07/22/2021

Effective Date

06/01/2024

Expiration Date

05/31/2026

City

BISMARCK

State

Zip

61814

Ever Disciplined

LastModifiedDate

03/01/2026