JILLIAN RENE SMITH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

NOT RENEWED

Business

First Name

JILLIAN

Middle

RENE

Last Name

SMITH

Business Name

JILLIAN RENE SMITH

Original Issue Date

09/04/2012

Effective Date

09/04/2012

Expiration Date

05/31/2014

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

07/03/2014