KAITLYN A SMART Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

INACTIVE

Business

First Name

KAITLYN

Middle

Last Name

SMART

Business Name

KAITLYN A SMART

Original Issue Date

04/29/2019

Effective Date

08/24/2020

Expiration Date

05/31/2022

City

TILTON

State

Zip

61833

County

VERMILION

Ever Disciplined

LastModifiedDate

08/24/2020