GARRETT W SMITH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****96

License Status

ACTIVE

Business

First Name

GARRETT

Middle

Last Name

SMITH

Business Name

GARRETT W SMITH

Original Issue Date

02/01/2022

Effective Date

03/08/2024

Expiration Date

05/31/2026

City

MARION

State

Zip

62959

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026