MELANIE A SMITH DO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041213516

License Status

INACTIVE

Business

First Name

MELANIE A

Last Name

SMITH

Suffix

Business Name

MELANIE A SMITH DO

Original Issue Date

11/04/1982

Effective Date

11/04/1982

Expiration Date

05/31/1996

City

STREAMWOOD

State

Zip

60107

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006