SAMUEL J BLAHA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041556238

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

Last Name

BLAHA

Business Name

SAMUEL J BLAHA

Original Issue Date

11/28/2023

Effective Date

03/13/2024

Expiration Date

05/31/2026

City

MARYVILLE

State

Zip

62062

Ever Disciplined

LastModifiedDate

02/28/2026