MARY JANE SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041164521

License Status

NOT RENEWED

Business

First Name

MARY JANE

Last Name

SMITH

Business Name

MARY JANE SMITH

Original Issue Date

10/24/1975

Effective Date

08/19/2020

Expiration Date

08/31/2022

City

BARRY

State

Zip

62312

County

PIKE

Ever Disciplined

LastModifiedDate

10/14/2022