MELANIE E SMITH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004121

License Status

NOT RENEWED

Business

First Name

MELANIE E

Last Name

SMITH

Business Name

MELANIE E SMITH

Original Issue Date

01/10/2002

Effective Date

01/10/2002

Expiration Date

05/31/2006

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/09/2008