IDA MAXINE SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032934

License Status

NOT RENEWED

Business

First Name

IDA MAXINE

Last Name

SMITH

Business Name

IDA MAXINE SMITH

Original Issue Date

04/16/1973

Expiration Date

01/31/1989

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005