CLINT DAVID SAMUEL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043105351

License Status

INACTIVE

Business

First Name

CLINT

Middle

DAVID

Last Name

SAMUEL

Business Name

CLINT DAVID SAMUEL

Original Issue Date

02/27/2008

Effective Date

12/23/2010

Expiration Date

01/31/2013

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/08/2012