MARY ELLEN SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043054140

License Status

NOT RENEWED

Business

First Name

MARY ELLEN

Last Name

SMITH

Business Name

MARY ELLEN SMITH

Original Issue Date

05/10/1982

Effective Date

01/14/2013

Expiration Date

01/31/2015

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

03/09/2015