JUSTIN W SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041315277

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

Last Name

SMITH

Business Name

JUSTIN W SMITH

Original Issue Date

08/02/1999

Effective Date

05/29/2020

Expiration Date

08/31/2022

City

CRESTWOOD

State

Zip

40014

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/14/2022