ROBIN F SAMUELSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043106341

License Status

NOT RENEWED

Business

First Name

ROBIN F

Last Name

SAMUELSON

Business Name

ROBIN F SAMUELSON

Original Issue Date

08/22/2008

Effective Date

12/27/2010

Expiration Date

01/31/2013

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/20/2013