JENNIFER LYNN SMITH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYNN

Last Name

SMITH

Business Name

JENNIFER LYNN SMITH

Original Issue Date

11/09/2015

Effective Date

05/31/2018

Expiration Date

09/30/2020

City

PEKIN

State

Zip

61554

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021