PHYLLIS R SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041126754

License Status

NOT RENEWED

Business

First Name

PHYLLIS R

Last Name

SMITH

Business Name

PHYLLIS R SMITH

Original Issue Date

08/23/1968

Effective Date

04/07/2010

Expiration Date

05/31/2012

City

OZARK

State

Zip

65721

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/10/2012