DANIELLE R SMITH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****52

License Status

INACTIVE

Business

First Name

DANIELLE

Middle

Last Name

SMITH

Business Name

DANIELLE R SMITH

Original Issue Date

08/18/2021

Effective Date

04/11/2024

Expiration Date

05/31/2026

City

PEKIN

State

Zip

61554

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/26/2024