MATRIE M SMALLWOOD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043015777

License Status

INACTIVE

Business

First Name

MATRIE M

Last Name

SMALLWOOD

Business Name

MATRIE M SMALLWOOD

Original Issue Date

09/02/1966

Effective Date

12/05/2002

Expiration Date

01/31/2003

City

CLINTON

State

Zip

37716

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/15/2005