SHANNON SPENCER SMELTZER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****47

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

SPENCER

Last Name

SMELTZER

Business Name

SHANNON SPENCER SMELTZER

Original Issue Date

12/11/2019

Effective Date

10/01/2020

Expiration Date

08/31/2022

City

SUMMERLAND KEY

State

Zip

33042

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022