MAZEGENE SAMPSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042400

License Status

NOT RENEWED

Business

First Name

MAZEGENE

Last Name

SAMPSON

Business Name

MAZEGENE SAMPSON

Original Issue Date

08/12/1977

Expiration Date

01/31/1993

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005