ANGELIQUE LATTICE SMITH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025279

License Status

INACTIVE

Business

First Name

ANGELIQUE

Middle

LATTICE

Last Name

SMITH

Business Name

ANGELIQUE LATTICE SMITH

Original Issue Date

06/03/2022

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

11/19/2025