JENNIFER LYNN SMITH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYNN

Last Name

SMITH

Business Name

JENNIFER LYNN SMITH

Original Issue Date

07/02/2015

Effective Date

07/02/2015

Expiration Date

05/31/2016

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/11/2016