SAMANTHA A FEDORKA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043117839

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

FEDORKA

Business Name

SAMANTHA A FEDORKA

Original Issue Date

10/10/2013

Effective Date

10/10/2013

Expiration Date

01/31/2015

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

03/09/2015