AMY L SMITH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

ACTIVE

Business

First Name

AMY

Middle

Last Name

SMITH

Business Name

AMY L SMITH

Original Issue Date

05/02/2019

Effective Date

04/10/2024

Expiration Date

05/31/2026

City

PERU

State

Zip

61354

County

LA SALLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026