SAMUEL DAVIS JR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043044604

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005