SAMANTHA L HAZEL - Registered Nurse License in Illinois | # 043111829

SAMANTHA L HAZEL

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043111829

License Status

INACTIVE

Business

N

First Name

SAMANTHA

Middle

L

Last Name

HAZEL

Business Name

SAMANTHA L HAZEL

Original Issue Date

12/10/2010

Effective Date

12/10/2010

Expiration Date

01/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2012