SAMANTHA J POTTS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104107

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

POTTS

Business Name

SAMANTHA J POTTS

BusinessDBA

COTNER,DAVIS

Original Issue Date

09/07/2007

Effective Date

09/07/2007

Expiration Date

01/31/2009

City

SAINT FRANCISVILLE

State

Zip

62460

County

LAWRENCE

Ever Disciplined

LastModifiedDate

03/17/2009