MICHELLE A SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086866

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

SMITH

Business Name

MICHELLE A SMITH

Original Issue Date

11/29/2001

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/15/2005