LAVADA J SMITH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

ACTIVE

Business

First Name

LAVADA

Middle

Last Name

SMITH

Business Name

LAVADA J SMITH

Original Issue Date

11/06/2019

Effective Date

03/07/2024

Expiration Date

05/31/2026

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026