TINA SHAVONNE SAMUEL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043105359

License Status

NOT RENEWED

Business

First Name

TINA

Middle

SHAVONNE

Last Name

SAMUEL

Business Name

TINA SHAVONNE SAMUEL

Original Issue Date

02/28/2008

Effective Date

01/28/2011

Expiration Date

01/31/2013

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

03/20/2013