ALAN JAY SMITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088521

License Status

INACTIVE

Business

First Name

ALAN

Middle

JAY

Last Name

SMITH

Business Name

ALAN JAY SMITH

Original Issue Date

05/29/2003

Effective Date

04/22/2011

Expiration Date

01/31/2013

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/08/2012