HEATHER 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*****37

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

SMITH

Business Name

HEATHER L SMITH

Original Issue Date

03/21/2014

Effective Date

05/02/2018

Expiration Date

09/30/2020

City

FAIRVIEW HEIGTHS

State

Zip

62208

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021