MYRA B SMITH DC Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041240005

License Status

NOT RENEWED

Business

First Name

MYRA B

Last Name

SMITH

Suffix

Business Name

MYRA B SMITH DC

Original Issue Date

11/10/1986

Effective Date

06/17/2010

Expiration Date

05/31/2012

City

BYRON

State

Zip

61010

County

OGLE

Ever Disciplined

LastModifiedDate

07/10/2012