NICHOLAS P SAMULEVICH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043111170

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

SAMULEVICH

Business Name

NICHOLAS P SAMULEVICH

Original Issue Date

09/23/2010

Effective Date

09/23/2010

Expiration Date

01/31/2011

City

WEST PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

03/10/2011