SHIRLEY DIANNE SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041193071

License Status

NOT RENEWED

Business

First Name

SHIRLEY DIANNE

Last Name

SMITH

Business Name

SHIRLEY DIANNE SMITH

Original Issue Date

10/17/1979

Effective Date

04/30/2018

Expiration Date

09/30/2020

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/14/2021