MACEE NOELLE SMITH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

ACTIVE

Business

First Name

MACEE

Middle

NOELLE

Last Name

SMITH

Business Name

MACEE NOELLE SMITH

BusinessDBA

EICKMEYER

Original Issue Date

11/10/2021

Effective Date

03/26/2024

Expiration Date

05/31/2026

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026