MARY L SMITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043044276

License Status

INACTIVE

Business

First Name

MARY L

Last Name

SMITH

Business Name

MARY L SMITH

Original Issue Date

06/29/1978

Expiration Date

01/31/1995

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005