MOLLY M SAMPAT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043117387

License Status

NOT RENEWED

Business

First Name

MOLLY

Middle

Last Name

SAMPAT

Business Name

MOLLY M SAMPAT

Original Issue Date

08/21/2013

Effective Date

12/01/2014

Expiration Date

01/31/2017

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/27/2017