MICHAEL KELLY SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041333189

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

KELLY

Last Name

SMITH

Business Name

MICHAEL KELLY SMITH

Original Issue Date

11/08/2002

Effective Date

11/08/2002

Expiration Date

05/31/2004

City

RAPID CITY

State

Zip

57702

County

SOUTH DAKOTA

Ever Disciplined

LastModifiedDate

10/09/2006