NameEILEEN SMYTH GROH
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
COA.02475-NS Clinical Nurse Specialist 08/21/1997 06/20/2013 08/31/2015 INACTIVE
CTP.02475-EX1 Prescriptive Authority - Externship 10/29/2004 10/29/2004 10/29/2005 LAPSED
CTP.02475-EX2 Prescriptive Authority - Externship Extension 10/29/2005 07/17/2006 10/29/2006 LAPSED
RN.132013- Registered Nurse 08/01/1974 06/30/2015 08/31/2017 ACTIVE Examination

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