HOLLY MARIE SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043113468

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

MARIE

Last Name

SMITH

Business Name

HOLLY MARIE SMITH

Original Issue Date

09/20/2011

Effective Date

12/03/2012

Expiration Date

01/31/2015

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

03/09/2015