JASON B SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041391368

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

SMITH

Business Name

JASON B SMITH

Original Issue Date

03/15/2011

Effective Date

05/25/2016

Expiration Date

05/31/2018

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

07/19/2018