MANDA SHAE SMITH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****98

License Status

NOT RENEWED

Business

First Name

MANDA

Middle

SHAE

Last Name

SMITH

Business Name

MANDA SHAE SMITH

Original Issue Date

08/28/2019

Effective Date

05/12/2022

Expiration Date

06/30/2024

City

MELROSE PARK

State

Zip

60160

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025