OPAL SAMPLES - Registered Nurse License in Illinois | # 043015408

OPAL SAMPLES

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043015408

License Status

INACTIVE

Business

N

First Name

OPAL

Last Name

SAMPLES

Business Name

OPAL SAMPLES

Original Issue Date

07/08/1966

Expiration Date

01/31/1985

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005