SANDRA CAROL SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104296

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

CAROL

Last Name

SMITH

Business Name

SANDRA CAROL SMITH

Original Issue Date

09/25/2007

Effective Date

02/02/2009

Expiration Date

01/31/2011

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

03/10/2011