TANNIS LEE SMITH Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

INOPERATIVE

Business

First Name

TANNIS

Middle

LEE

Last Name

SMITH

Business Name

TANNIS LEE SMITH

Original Issue Date

02/03/2014

Effective Date

05/18/2014

Expiration Date

05/31/2016

City

PLANO

State

Zip

60545

County

KENDALL

Ever Disciplined

LastModifiedDate

05/16/2014