MANDA SHAE SMITH - Advanced Practice Nurse License in Illinois | # 209019533

MANDA SHAE SMITH

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019533

License Status

NOT RENEWED

Business

N

First Name

MANDA

Middle

SHAE

Last Name

SMITH

Business Name

MANDA SHAE SMITH

Original Issue Date

06/19/2019

Effective Date

05/12/2022

Expiration Date

06/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025