ALISSA ANN SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041341588

License Status

NOT RENEWED

Business

First Name

ALISSA

Middle

ANN

Last Name

SMITH

Business Name

ALISSA ANN SMITH

Original Issue Date

08/05/2004

Effective Date

08/05/2004

Expiration Date

05/31/2006

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006