LISA A SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041183856

License Status

NOT RENEWED

Business

First Name

LISA A

Last Name

SMITH

Business Name

LISA A SMITH

Original Issue Date

10/16/1978

Effective Date

10/16/1978

Expiration Date

05/31/1994

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

09/27/2006