MARY A SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041275360

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

SMITH

Business Name

MARY A SMITH

Original Issue Date

10/07/1993

Effective Date

04/25/2014

Expiration Date

05/31/2016

City

SHANNON

State

Zip

61078

County

CARROLL

Ever Disciplined

LastModifiedDate

07/11/2016