TERESA L SMITH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

Last Name

SMITH

Business Name

TERESA L SMITH

Original Issue Date

12/04/2002

Effective Date

12/04/2002

Expiration Date

05/31/2006

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

10/09/2006