SAMANTHA JO FORD Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041587810

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

FORD

Business Name

SAMANTHA JO FORD

Original Issue Date

06/09/2025

Effective Date

06/09/2025

Expiration Date

05/31/2026

City

PEORIA HEIGHTS

State

Zip

61616

Ever Disciplined

LastModifiedDate

03/01/2026