Grace Susan Samuel
ExpiredCalifornia license 629689
License
- Licensed by
- California Board of Registered Nursing
- License number
- 629689
- Status
- Expired (Delinquent)
- First issued
- December 2, 2003
- Expired
- June 30, 2007
- License holder
- Grace Susan Samuel
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
7718 Bristol Park Dr
Tinley Park, IL 60477
Tinley Park, IL 60477
Cook County