SAMANTHA BROOKE CUSSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041494975

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

BROOKE

Last Name

CUSSEN

Business Name

SAMANTHA BROOKE CUSSEN

BusinessDBA

NOLAND

Original Issue Date

05/14/2020

Effective Date

05/14/2020

Expiration Date

08/31/2022

City

FORT WAYNE

State

Zip

46818

Ever Disciplined

LastModifiedDate

04/08/2025