MARY J SMOCK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043063299

License Status

INACTIVE

Business

First Name

MARY J

Last Name

SMOCK

Business Name

MARY J SMOCK

Original Issue Date

07/01/1986

Expiration Date

01/31/1991

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

10/21/2005