JUSTIN W SMITH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008346

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

Last Name

SMITH

Business Name

JUSTIN W SMITH

Original Issue Date

09/09/2010

Effective Date

05/29/2020

Expiration Date

08/31/2022

City

CRESTWOOD

State

Zip

40014

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/14/2022