THEDA D SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049088

License Status

NOT RENEWED

Business

First Name

THEDA D

Last Name

SMITH

Business Name

THEDA D SMITH

Original Issue Date

01/07/1980

Expiration Date

01/31/1993

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/21/2005