KENDRA M SMITH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

NOT RENEWED

Business

First Name

KENDRA

Middle

Last Name

SMITH

Business Name

KENDRA M SMITH

Original Issue Date

03/13/2019

Effective Date

08/19/2020

Expiration Date

08/31/2022

City

WILMINGTON IL

State

Zip

60481

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022