MARY SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154260

License Status

NOT RENEWED

Business

First Name

MARY

Last Name

SMITH

Business Name

MARY SMITH

Original Issue Date

04/24/1974

Effective Date

03/30/2012

Expiration Date

05/31/2014

City

SOUTH BEND

State

Zip

46635

County

INDIANA

Ever Disciplined

LastModifiedDate

07/03/2014