License Information
License Number
043002087Business Name
ETHEL M SMITHLicense Type
NURSING BOARDOriginal Issue Date
1970-01-01License Status
NOT RENEWEDCity
HAVANAState
ILCounty
MASONPost
62644Update Date
2022-07-31Business
NEver Disciplined
NLastModifiedDate
10/21/2005Registered Location
Peripheral Licensees
- ROBERT WILLIAM MARTIN JR HAVANA, IL 62644
- JEANNE ESTHER MARTIN HAVANA, IL 62644
- SUZANNE MILLER HAVANA, IL 62644
- DONNA MAE BOYER HAVANA, IL 62644
- DOROTHY M GRIFFIN HAVANA, IL 62644
- VICTORIA L DIEKHOFF HAVANA, IL 62644
- RICHARD A ATWATER HAVANA, IL 62644
- SUE A ROAT HAVANA, IL 62644
- CAROL A BERBERET HAVANA, IL 62644
- MICHAEL R PEDIGO HAVANA, IL 62644