CALLY JO SMITH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

ACTIVE

Business

First Name

CALLY

Middle

Last Name

SMITH

Business Name

CALLY JO SMITH

Original Issue Date

07/21/2016

Effective Date

03/26/2024

Expiration Date

05/31/2026

City

GILBERT

State

Zip

85298

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026