CYNTHIA SUSAN SMITH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****23

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Middle

SUSAN

Last Name

SMITH

Business Name

CYNTHIA SUSAN SMITH

Original Issue Date

05/22/2008

Effective Date

10/19/2010

Expiration Date

05/31/2012

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012