DOMINIQUE T SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043076513

License Status

NOT RENEWED

Business

First Name

DOMINIQUE T

Last Name

SMITH

Business Name

DOMINIQUE T SMITH

Original Issue Date

10/31/1994

Effective Date

10/18/2005

Expiration Date

01/31/2007

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

03/16/2007