SAMANTHA AWALT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043112761

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Last Name

AWALT

Business Name

SAMANTHA AWALT

Original Issue Date

06/20/2011

Effective Date

06/20/2011

Expiration Date

01/31/2013

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

03/20/2013