JAKE C SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041418660

License Status

NOT RENEWED

Business

First Name

JAKE

Middle

Last Name

SMITH

Business Name

JAKE C SMITH

Original Issue Date

03/07/2014

Effective Date

04/17/2018

Expiration Date

09/30/2020

City

GRANITE CITY

State

Zip

62040

County

POPE

Ever Disciplined

LastModifiedDate

01/14/2021