CONSTANCE SMYTH THOMAS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003769

License Status

INACTIVE

Business

First Name

CONSTANCE

Middle

SMYTH

Last Name

THOMAS

Business Name

CONSTANCE SMYTH THOMAS

Original Issue Date

08/31/2001

Effective Date

05/17/2018

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/08/2020