ELIZA J SMITH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

ACTIVE

Business

First Name

ELIZA

Middle

Last Name

SMITH

Business Name

ELIZA J SMITH

Original Issue Date

10/28/2008

Effective Date

04/11/2024

Expiration Date

05/31/2026

City

CASEY

State

Zip

62420

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026