SAMIEBERT A FAMANAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083623

License Status

NOT RENEWED

Business

First Name

SAMIEBERT

Middle

Last Name

FAMANAS

Business Name

SAMIEBERT A FAMANAS

Original Issue Date

04/20/1999

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005