TIERRA Q SMITH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

ACTIVE

Business

First Name

TIERRA

Middle

Last Name

SMITH

Business Name

TIERRA Q SMITH

Original Issue Date

08/24/2023

Effective Date

04/01/2024

Expiration Date

05/31/2026

City

EAST SAINT LOUIS

State

Zip

62201

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026