ANITA I SMALLWOOD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041235676

License Status

NOT RENEWED

Business

First Name

ANITA I

Last Name

SMALLWOOD

Business Name

ANITA I SMALLWOOD

Original Issue Date

05/05/1986

Effective Date

05/05/1986

Expiration Date

05/31/1990

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006