MARY M SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043074283

License Status

NOT RENEWED

Business

First Name

MARY M

Last Name

SMITH

Business Name

MARY M SMITH

Original Issue Date

12/15/1993

Effective Date

04/30/2001

Expiration Date

01/31/2003

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

10/21/2005

Case Number

1999000455

Action

Suspension

Discipline Start Date

04/30/2001

Discipline Reason

Diverted controlled substances for self-use while employed at Lynncrest of Auburn.