KATHLEEN AMANDA SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043111593

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

AMANDA

Last Name

SMITH

Business Name

KATHLEEN AMANDA SMITH

Original Issue Date

11/03/2010

Effective Date

11/03/2010

Expiration Date

01/31/2013

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

03/20/2013