M'KENZEE BROGAN 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

M'KENZEE

Middle

BROGAN

Last Name

SMITH

Business Name

M'KENZEE BROGAN SMITH

Original Issue Date

11/16/2016

Effective Date

04/17/2024

Expiration Date

05/31/2026

City

OTTAWA

State

Zip

61350

County

LA SALLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026