ANGELIQUE LATTICE SMITH - Advanced Practice Nurse License in Indiana | # 209025279

ANGELIQUE LATTICE SMITH

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025279

License Status

INACTIVE

Business

N

First Name

ANGELIQUE

Middle

LATTICE

Last Name

SMITH

Business Name

ANGELIQUE LATTICE SMITH

Original Issue Date

06/03/2022

Effective Date

05/14/2024

Expiration Date

05/31/2026

State

IN

Ever Disciplined

N

LastModifiedDate

11/19/2025