JACQUELINE SMART Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

INACTIVE

Business

First Name

JACQUELINE

Last Name

SMART

Business Name

JACQUELINE SMART

Original Issue Date

03/18/2015

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

CALUMET CITY

State

Zip

60409

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/21/2018