BERNICE M SMITH - Registered Nurse License in Illinois | # 043012631

BERNICE M SMITH

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012631

License Status

INACTIVE

Business

N

First Name

BERNICE M

Last Name

SMITH

Business Name

BERNICE M SMITH

Original Issue Date

09/04/1964

Effective Date

01/21/2005

Expiration Date

01/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005