DERRICK D SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085456

License Status

NOT RENEWED

Business

First Name

DERRICK

Middle

Last Name

SMITH

Business Name

DERRICK D SMITH

Original Issue Date

10/11/2000

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

FLORENCE

State

Zip

35630

County

ALABAMA

Ever Disciplined

LastModifiedDate

10/15/2005