CAMILLE A SMITH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

ACTIVE

Business

First Name

CAMILLE

Middle

Last Name

SMITH

Business Name

CAMILLE A SMITH

Original Issue Date

07/08/2023

Effective Date

03/22/2024

Expiration Date

05/31/2026

City

BROOKFIELD

State

Zip

60513

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026