SAMANTHA C INGRAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041413816

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

INGRAM

Business Name

SAMANTHA C INGRAM

Original Issue Date

08/07/2013

Effective Date

04/08/2020

Expiration Date

08/31/2022

City

ST LOUIS

State

Zip

63108

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/14/2022