D SHANNON SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041192788

License Status

NOT RENEWED

Business

First Name

D SHANNON

Last Name

SMITH

Business Name

D SHANNON SMITH

Original Issue Date

10/17/1979

Effective Date

10/17/1979

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006