SANDRA S SAMPLES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035949

License Status

NOT RENEWED

Business

First Name

SANDRA S

Last Name

SAMPLES

Business Name

SANDRA S SAMPLES

Original Issue Date

01/30/1975

Expiration Date

01/31/1999

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

05/27/2005