DOMINIQUE G SMITH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014603

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

Last Name

SMITH

Business Name

DOMINIQUE G SMITH

Original Issue Date

07/26/2016

Effective Date

05/29/2018

Expiration Date

09/30/2020

City

DYER

State

Zip

46311

Ever Disciplined

LastModifiedDate

01/11/2026