SANDRA IVY SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041329315

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

IVY

Last Name

SMITH

Business Name

SANDRA IVY SMITH

Original Issue Date

04/03/2002

Effective Date

04/03/2002

Expiration Date

05/31/2006

City

CARTHAGE

State

Zip

39051

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

10/09/2006