CARLA JEAN SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036076

License Status

NOT RENEWED

Business

First Name

CARLA JEAN

Last Name

SMITH

Business Name

CARLA JEAN SMITH

Original Issue Date

01/30/1975

Effective Date

01/30/2017

Expiration Date

01/31/2019

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

03/28/2019