SARAH SMOCK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

INACTIVE

Business

First Name

SARAH

Last Name

SMOCK

Business Name

SARAH SMOCK

Original Issue Date

01/16/2019

Effective Date

09/17/2020

Expiration Date

05/31/2022

City

NORMAL

State

Zip

61761

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/17/2020