MARY ANN SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043052002

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ANN

Last Name

SMITH

Business Name

MARY ANN SMITH

Original Issue Date

06/05/1981

Effective Date

01/13/2017

Expiration Date

01/31/2019

City

SPRINGFIELD

State

Zip

62791

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/28/2019

Case Number

1992006060

Action

Refuse To Renew

Discipline Start Date

10/19/1992

Discipline End Date

12/14/1992

Discipline Reason

Defaulted on Illinois Student Assistance loan.