DELORA A SMITH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****93

License Status

NOT RENEWED

Business

First Name

DELORA

Middle

Last Name

SMITH

Business Name

DELORA A SMITH

Original Issue Date

01/14/2009

Effective Date

01/14/2009

Expiration Date

05/31/2010

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

08/11/2010