MARY MCCOY SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043057194

License Status

NOT RENEWED

Business

First Name

MARY

Middle

MCCOY

Last Name

SMITH

Business Name

MARY MCCOY SMITH

Original Issue Date

05/09/1983

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

DIVERNON

State

Zip

62530

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/17/2009