REBECCA R SMITH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

SMITH

Business Name

REBECCA R SMITH

Original Issue Date

12/14/2015

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60638

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021