THEDA D SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041271716

License Status

NOT RENEWED

Business

First Name

THEDA D

Last Name

SMITH

Business Name

THEDA D SMITH

Original Issue Date

10/22/1992

Effective Date

03/31/2016

Expiration Date

05/31/2018

City

CARBONDALE

State

Zip

62902

County

JACKSON

Ever Disciplined

LastModifiedDate

07/19/2018