RANDELL E SMITH JR Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041312456

License Status

INACTIVE

Business

First Name

RANDELL

Middle

Last Name

SMITH

Suffix

Business Name

RANDELL E SMITH JR

Original Issue Date

11/18/1998

Effective Date

12/07/2007

Expiration Date

05/31/2008

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

03/11/2008