JUANITA SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041139536

License Status

NOT RENEWED

Business

First Name

JUANITA

Last Name

SMITH

Business Name

JUANITA SMITH

Original Issue Date

06/17/1971

Effective Date

05/18/2020

Expiration Date

08/31/2022

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/14/2022