DOROTHY VIVIAN SMITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028187

License Status

INACTIVE

Business

First Name

DOROTHY VIVIAN

Last Name

SMITH

Business Name

DOROTHY VIVIAN SMITH

Original Issue Date

02/24/1971

Expiration Date

01/31/1993

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005