MARY A SMITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041107903

License Status

INACTIVE

Business

First Name

MARY A

Last Name

SMITH

Business Name

MARY A SMITH

Original Issue Date

11/13/1963

Effective Date

11/13/1963

Expiration Date

05/31/2006

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006