AMY L SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085572

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

SMITH

Business Name

AMY L SMITH

Original Issue Date

11/02/2000

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

MENDOTA

State

Zip

61342

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/15/2005