STEPHANIE IRENE SMITH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****36

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

IRENE

Last Name

SMITH

Business Name

STEPHANIE IRENE SMITH

Original Issue Date

08/14/2019

Effective Date

03/20/2024

Expiration Date

05/31/2026

City

ROXANA

State

Zip

62084

County

MADISON

Ever Disciplined

LastModifiedDate

02/10/2026