MICHELLE RAE SMART Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

RAE

Last Name

SMART

Business Name

MICHELLE RAE SMART

Original Issue Date

03/28/2018

Effective Date

03/28/2018

Expiration Date

09/30/2020

City

EAGLE

State

Zip

83616

Ever Disciplined

LastModifiedDate

07/16/2020