ANGELIQUE LATTICE SMITH

Business Entity
ACTIVE

Advanced Practice Nurse

FULL PRACTICE AUTHORITY APRN CONTROL SUB

37*****99

ACTIVE

N

ANGELIQUE

LATTICE

SMITH

ANGELIQUE LATTICE SMITH

11/19/2025

11/19/2025

05/31/2026

CROWN POINT

IN

46307

LAKE

N

03/02/2026