MARLA RAE SMITH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

ACTIVE

Business

First Name

MARLA

Middle

RAE

Last Name

SMITH

Business Name

MARLA RAE SMITH

Original Issue Date

08/20/2009

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

WATERLOO

State

Zip

62298

County

MONROE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/11/2026