MAXINE M SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043027538

License Status

NOT RENEWED

Business

First Name

MAXINE M

Last Name

SMITH

Business Name

MAXINE M SMITH

Original Issue Date

01/25/1971

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005