THEA C SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041317030

License Status

NOT RENEWED

Business

First Name

THEA

Middle

Last Name

SMITH

Business Name

THEA C SMITH

Original Issue Date

10/08/1999

Effective Date

10/08/1999

Expiration Date

05/31/2000

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006