SAMUEL J CHAVARRIA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043123192

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

Last Name

CHAVARRIA

Business Name

SAMUEL J CHAVARRIA

Original Issue Date

09/30/2016

Effective Date

12/19/2016

Expiration Date

01/31/2019

City

WINGO

State

Zip

42088

Ever Disciplined

LastModifiedDate

03/28/2019