JACK LEE SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028884

License Status

NOT RENEWED

Business

First Name

JACK LEE

Last Name

SMITH

Business Name

JACK LEE SMITH

Original Issue Date

06/29/1971

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

10/21/2005