AMANDA S SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089123

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

SMITH

Business Name

AMANDA S SMITH

Original Issue Date

10/23/2003

Effective Date

12/15/2008

Expiration Date

01/31/2011

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/10/2011