KELLY D SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087415

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

SMITH

Business Name

KELLY D SMITH

Original Issue Date

06/05/2002

Effective Date

01/14/2005

Expiration Date

01/31/2007

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

03/16/2007