MICHAEL ROLLEN SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041371614

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

ROLLEN

Last Name

SMITH

Business Name

MICHAEL ROLLEN SMITH

Original Issue Date

09/09/2008

Effective Date

04/25/2012

Expiration Date

05/31/2014

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

07/03/2014