SAMUEL DAVIS JR - Registered Nurse License in Illinois | # 043044604

SAMUEL DAVIS JR

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043044604

License Status

NOT RENEWED

Business

N

First Name

SAMUEL

Last Name

DAVIS JR

Business Name

SAMUEL DAVIS JR

Original Issue Date

06/29/1978

Effective Date

03/07/2001

Expiration Date

01/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005