JACQUELINE J SMITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041110213

License Status

INACTIVE

Business

First Name

JACQUELINE J

Last Name

SMITH

Business Name

JACQUELINE J SMITH

Original Issue Date

06/22/1964

Effective Date

06/22/1964

Expiration Date

05/31/1998

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006