LISA MARIE SMITH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

ACTIVE

Business

First Name

LISA

Middle

MARIE

Last Name

SMITH

Business Name

LISA MARIE SMITH

Original Issue Date

01/17/2019

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

JOLIET

State

Zip

60436

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026