MELISSA N SMITH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

ACTIVE

Business

First Name

MELISSA

Middle

Last Name

SMITH

Business Name

MELISSA N SMITH

Original Issue Date

01/24/2013

Effective Date

05/01/2024

Expiration Date

05/31/2026

City

FORT WAYNE

State

Zip

46825

County

KENDALL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026