TAVIA N SMITH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014432

License Status

ACTIVE

Business

First Name

TAVIA

Middle

Last Name

SMITH

Business Name

TAVIA N SMITH

Original Issue Date

07/07/2016

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

FLORISSANT

State

Zip

63033

Ever Disciplined

LastModifiedDate

03/03/2026