EDWARD ROGER SMITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084802

License Status

INACTIVE

Business

First Name

EDWARD

Middle

ROGER

Last Name

SMITH

Business Name

EDWARD ROGER SMITH

Original Issue Date

03/30/2000

Effective Date

11/06/2002

Expiration Date

01/31/2003

City

GERMANTOWN

State

Zip

12526

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/15/2005