SAMANTHA L HAZEL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043111829

License Status

INACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

HAZEL

Business Name

SAMANTHA L HAZEL

Original Issue Date

12/10/2010

Effective Date

12/10/2010

Expiration Date

01/31/2013

City

NORRIS CITY

State

Zip

62869

County

WHITE

Ever Disciplined

LastModifiedDate

11/08/2012