MARYLOU SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043054785

License Status

NOT RENEWED

Business

First Name

MARYLOU

Last Name

SMITH

Business Name

MARYLOU SMITH

Original Issue Date

08/23/1982

Expiration Date

01/31/1985

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005