MAVIS A SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041257652

License Status

NOT RENEWED

Business

First Name

MAVIS A

Last Name

SMITH

Business Name

MAVIS A SMITH

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

05/31/1994

City

SPRING GROVE

State

Zip

60081

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/27/2006