TINA SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079417

License Status

NOT RENEWED

Business

First Name

TINA

Last Name

SMITH

Business Name

TINA SMITH

Original Issue Date

07/19/1996

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

10/15/2005