MICHELLE RAE SMART 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

MICHELLE

Middle

RAE

Last Name

SMART

Business Name

MICHELLE RAE SMART

Original Issue Date

12/09/2014

Effective Date

05/11/2016

Expiration Date

05/31/2018

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/19/2018