KELLY L SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043059603

License Status

NOT RENEWED

Business

First Name

KELLY L

Last Name

SMITH

Business Name

KELLY L SMITH

Original Issue Date

08/09/1984

Expiration Date

01/31/1997

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005