TOMBI 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

TOMBI

Last Name

SMITH

Business Name

TOMBI SMITH

Original Issue Date

01/29/2019

Effective Date

05/29/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61114

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026