EBELENA SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031217

License Status

NOT RENEWED

Business

First Name

EBELENA

Last Name

SMITH

Business Name

EBELENA SMITH

Original Issue Date

10/04/1972

Expiration Date

01/31/1991

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005