SAMANTHA D STEVENSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043076257

License Status

NOT RENEWED

Business

First Name

SAMANTHA D

Last Name

STEVENSON

Business Name

SAMANTHA D STEVENSON

Original Issue Date

10/12/1994

Effective Date

01/29/2009

Expiration Date

01/31/2011

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/10/2011