ROGER R SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041243331

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

Last Name

SMITH

Business Name

ROGER R SMITH

Original Issue Date

10/02/1987

Effective Date

06/18/2010

Expiration Date

05/31/2012

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

07/10/2012