SAMANTHA JO SULLENS Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043136278

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

SULLENS

Business Name

SAMANTHA JO SULLENS

Original Issue Date

09/26/2024

Effective Date

01/08/2025

Expiration Date

01/31/2027

City

PATOKA

State

Zip

62875

County

MARION

Ever Disciplined

LastModifiedDate

01/08/2025