MELISSA SUE SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043071427

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

SUE

Last Name

SMITH

Business Name

MELISSA SUE SMITH

Original Issue Date

01/29/1992

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

10/15/2005