IDA MAE W SMITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043006579

License Status

INACTIVE

Business

First Name

IDA MAE W

Last Name

SMITH

Business Name

IDA MAE W SMITH

Original Issue Date

01/21/1955

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005