MARY L SMITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043059486

License Status

INACTIVE

Business

First Name

MARY L

Last Name

SMITH

Business Name

MARY L SMITH

Original Issue Date

07/25/1984

Effective Date

04/06/2011

Expiration Date

01/31/2013

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/08/2012