SHAQUANTALIA T SMOTHERS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

ACTIVE

Business

First Name

SHAQUANTALIA

Middle

Last Name

SMOTHERS

Business Name

SHAQUANTALIA T SMOTHERS

Original Issue Date

12/16/2019

Effective Date

03/29/2024

Expiration Date

05/31/2026

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026