JUANITA SMITH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001024

License Status

NOT RENEWED

Business

First Name

JUANITA

Last Name

SMITH

Business Name

JUANITA SMITH

Original Issue Date

06/15/2001

Effective Date

05/18/2020

Expiration Date

08/31/2022

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/14/2022