SAMANTHA L STALEY - Registered Nurse License in Indiana | # 041348652

SAMANTHA L STALEY

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041348652

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

L

Last Name

STALEY

Business Name

SAMANTHA L STALEY

Original Issue Date

09/07/2005

Effective Date

06/30/2022

Expiration Date

06/30/2024

State

IN

Ever Disciplined

N

LastModifiedDate

02/05/2025