KALLIE A SMITH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209032512

License Status

ACTIVE

Business

First Name

KALLIE

Middle

Last Name

SMITH

Business Name

KALLIE A SMITH

Original Issue Date

06/12/2025

Effective Date

06/12/2025

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/02/2026