ZYRA DONNANIECE GORDON-SMITH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

NOT RENEWED

Business

First Name

ZYRA

Middle

DONNANIECE

Last Name

GORDON-SMITH

Business Name

ZYRA DONNANIECE GORDON-SMITH

Original Issue Date

12/10/2001

Effective Date

12/10/2001

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006