AUTUMN MARIE SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043121029

License Status

NOT RENEWED

Business

First Name

AUTUMN

Middle

MARIE

Last Name

SMITH

Business Name

AUTUMN MARIE SMITH

Original Issue Date

07/21/2015

Effective Date

11/14/2016

Expiration Date

01/31/2019

City

PETERSBURG

State

Zip

62675

Ever Disciplined

LastModifiedDate

03/28/2019