ALISSA D SMITH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

INACTIVE

Business

First Name

ALISSA

Middle

Last Name

SMITH

Business Name

ALISSA D SMITH

Original Issue Date

12/16/2009

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/18/2025