SAMANTHA S SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041396461

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

SMITH

Business Name

SAMANTHA S SMITH

Original Issue Date

09/06/2011

Effective Date

05/17/2012

Expiration Date

05/31/2014

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/03/2014