SHANNON M SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043111918

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

SMITH

Business Name

SHANNON M SMITH

Original Issue Date

12/30/2010

Effective Date

11/19/2018

Expiration Date

01/31/2021

City

DIXON

State

Zip

61021

Ever Disciplined

LastModifiedDate

03/11/2021