MARY M. SMITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043039703

License Status

INACTIVE

Business

First Name

MARY M.

Last Name

SMITH

Business Name

MARY M. SMITH

Original Issue Date

06/11/1976

Effective Date

11/09/2004

Expiration Date

01/31/2007

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

11/03/2006