KATHLEEN AMANDA SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041399045

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

AMANDA

Last Name

SMITH

Business Name

KATHLEEN AMANDA SMITH

Original Issue Date

02/06/2012

Effective Date

05/17/2012

Expiration Date

05/31/2014

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

07/03/2014