KATHY 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*****44

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

Last Name

SMITH

Business Name

KATHY L SMITH

Original Issue Date

07/27/2001

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/14/2021