STACY A SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041350085

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

SMITH

Business Name

STACY A SMITH

Original Issue Date

11/15/2005

Effective Date

10/01/2020

Expiration Date

08/31/2022

City

LONGMONT

State

Zip

80503

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022