MICHAEL KELLY SMITH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004589

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

KELLY

Last Name

SMITH

Business Name

MICHAEL KELLY SMITH

Original Issue Date

01/14/2003

Effective Date

01/14/2003

Expiration Date

05/31/2004

City

RAPID CITY

State

Zip

57703

County

SOUTH DAKOTA

Ever Disciplined

LastModifiedDate

06/09/2008