JOANN R SMITH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

ACTIVE

Business

First Name

JOANN

Middle

Last Name

SMITH

Business Name

JOANN R SMITH

Original Issue Date

06/20/2023

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

03/02/2026