TINA M SAMSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085683

License Status

INACTIVE

Business

First Name

TINA

Middle

Last Name

SAMSON

Business Name

TINA M SAMSON

Original Issue Date

11/29/2000

Effective Date

12/13/2004

Expiration Date

01/31/2005

City

PEORIA

State

Zip

61604

Ever Disciplined

LastModifiedDate

10/15/2005