SAMANTHA L MOULTON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043129256

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

MOULTON

Business Name

SAMANTHA L MOULTON

Original Issue Date

08/25/2020

Effective Date

08/25/2020

Expiration Date

01/31/2021

City

BISMARCK

State

Zip

61814

Ever Disciplined

LastModifiedDate

03/11/2021