SR MARY WILMA SMITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043062837

License Status

INACTIVE

Business

First Name

SR MARY WILMA

Last Name

SMITH

Business Name

SR MARY WILMA SMITH

Original Issue Date

02/18/1986

Effective Date

12/05/2002

Expiration Date

01/31/2003

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/15/2005