AMANDA S SMITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090284

License Status

INACTIVE

Business

First Name

AMANDA

Middle

Last Name

SMITH

Business Name

AMANDA S SMITH

Original Issue Date

09/21/2004

Effective Date

12/26/2014

Expiration Date

01/31/2017

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

11/10/2016