JACQUELYN SMOOTS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043029963

License Status

NOT RENEWED

Business

First Name

JACQUELYN

Last Name

SMOOTS

Business Name

JACQUELYN SMOOTS

Original Issue Date

12/15/1971

Effective Date

12/08/2010

Expiration Date

01/31/2013

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/20/2013