KATHY S SMITH Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

INOPERATIVE

Business

First Name

KATHY

Middle

Last Name

SMITH

Business Name

KATHY S SMITH

Original Issue Date

11/14/2002

Effective Date

03/27/2016

Expiration Date

05/31/2018

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/01/2018