AMY 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*****36

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

SMITH

Business Name

AMY L SMITH

Original Issue Date

07/23/2022

Effective Date

07/23/2022

Expiration Date

06/30/2024

City

MINOOKA

State

Zip

60447

County

GRUNDY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025