SAMANTHA LANE BROCKSMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041536440

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

LANE

Last Name

BROCKSMITH

Business Name

SAMANTHA LANE BROCKSMITH

Original Issue Date

12/17/2022

Effective Date

12/17/2022

Expiration Date

06/30/2024

City

TACOMA

State

Zip

98422

Ever Disciplined

LastModifiedDate

02/05/2025