SAMUEL THOMAS GORACKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041503881

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

THOMAS

Last Name

GORACKE

Business Name

SAMUEL THOMAS GORACKE

Original Issue Date

12/28/2020

Effective Date

12/28/2020

Expiration Date

08/31/2022

City

CENTER CITY

State

Zip

55012

Ever Disciplined

LastModifiedDate

10/14/2022