SAMUEL SHEPHERD ROBERTS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041401124

License Status

INACTIVE

Business

First Name

SAMUEL

Middle

SHEPHERD

Last Name

ROBERTS

Business Name

SAMUEL SHEPHERD ROBERTS

Original Issue Date

05/02/2012

Effective Date

05/09/2016

Expiration Date

05/31/2018

City

WEST PLAINS

State

Zip

65775

County

MISSOURI

Ever Disciplined

LastModifiedDate

03/06/2018