DOLLY M SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043040930

License Status

NOT RENEWED

Business

First Name

DOLLY M

Last Name

SMITH

Business Name

DOLLY M SMITH

Original Issue Date

02/02/1977

Effective Date

01/25/2011

Expiration Date

01/31/2013

City

ALEXIS

State

Zip

61412

County

MERCER

Ever Disciplined

LastModifiedDate

03/20/2013