KELLY KRISTINE SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041392892

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

KRISTINE

Last Name

SMITH

Business Name

KELLY KRISTINE SMITH

Original Issue Date

06/17/2011

Effective Date

06/17/2011

Expiration Date

05/31/2012

City

FORTVILLE

State

Zip

46040

County

INDIANA

Ever Disciplined

LastModifiedDate

07/10/2012