LISA MARIE SMITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043101891

License Status

INACTIVE

Business

First Name

LISA

Middle

MARIE

Last Name

SMITH

Business Name

LISA MARIE SMITH

Original Issue Date

08/02/2006

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/10/2008