SARA SMITH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****95

License Status

ACTIVE

Business

First Name

SARA

Last Name

SMITH

Business Name

SARA SMITH

Original Issue Date

03/01/2018

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61603

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026