JETTIE L SMART KELLY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041222639

License Status

NOT RENEWED

Business

First Name

JETTIE L

Last Name

SMART KELLY

Business Name

JETTIE L SMART KELLY

Original Issue Date

05/14/1984

Effective Date

05/10/2016

Expiration Date

05/31/2018

City

MARQUETTE HGTS

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/19/2018