JENNA NICOLE SMITH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022032

License Status

NOT RENEWED

Business

First Name

JENNA

Middle

NICOLE

Last Name

SMITH

Business Name

JENNA NICOLE SMITH

Original Issue Date

09/17/2020

Effective Date

09/17/2020

Expiration Date

08/31/2022

City

FORT BRANCH

State

Zip

47648

County

EDWARDS

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/14/2022