KATHY L SMITH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001094

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

Last Name

SMITH

Business Name

KATHY L SMITH

Original Issue Date

06/15/2001

Effective Date

05/04/2018

Expiration Date

09/30/2020

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021