LILLIE SMITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043026746

License Status

INACTIVE

Business

First Name

LILLIE

Last Name

SMITH

Business Name

LILLIE SMITH

Original Issue Date

04/13/1970

Effective Date

01/16/2003

Expiration Date

01/31/2003

City

GARY

State

Zip

46408

County

INDIANA

Ever Disciplined

LastModifiedDate

10/15/2005