TINA L SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041300103

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

SMITH

Business Name

TINA L SMITH

Original Issue Date

09/19/1996

Effective Date

05/08/2014

Expiration Date

05/31/2016

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

07/11/2016