CORIE KATHLEEN SMITH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

ACTIVE

Business

First Name

CORIE

Middle

KATHLEEN

Last Name

SMITH

Business Name

CORIE KATHLEEN SMITH

Original Issue Date

12/11/2024

Effective Date

12/11/2024

Expiration Date

05/31/2026

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026