CAROLYN S SMITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043039202

License Status

INACTIVE

Business

First Name

CAROLYN S

Last Name

SMITH

Business Name

CAROLYN S SMITH

Original Issue Date

02/19/1976

Effective Date

12/13/2004

Expiration Date

01/31/2005

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/15/2005