HEATHER E 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

HEATHER

Middle

Last Name

SMITH

Business Name

HEATHER E SMITH

Original Issue Date

10/04/2018

Effective Date

03/15/2024

Expiration Date

05/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

03/15/2024