ZYRA DONNANIECE GORDON-SMITH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

NOT RENEWED

Business

First Name

ZYRA

Middle

DONNANIECE

Last Name

GORDON-SMITH

Business Name

ZYRA DONNANIECE GORDON-SMITH

Original Issue Date

07/26/2001

Effective Date

04/29/2016

Expiration Date

05/31/2018

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018