CHANDRA N SMITH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

INACTIVE

Business

First Name

CHANDRA

Middle

Last Name

SMITH

Business Name

CHANDRA N SMITH

Original Issue Date

02/28/2018

Effective Date

08/24/2020

Expiration Date

05/31/2022

City

MACHESNEY PARK

State

Zip

61115

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/24/2020