MANDA SHAE SMITH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019533

License Status

NOT RENEWED

Business

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

City

NORTHBROOK

State

Zip

60062

County

FLORIDA

Ever Disciplined

LastModifiedDate

02/05/2025