SAMUEL FERREL PEMBERTON - Registered Nurse License in Illinois | # 043031670

SAMUEL FERREL PEMBERTON

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031670

License Status

INACTIVE

Business

N

First Name

SAMUEL FERREL

Last Name

PEMBERTON

Business Name

SAMUEL FERREL PEMBERTON

Original Issue Date

11/14/1972

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005