MARTHA GAYE SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041333783

License Status

NOT RENEWED

Business

First Name

MARTHA

Middle

GAYE

Last Name

SMITH

Business Name

MARTHA GAYE SMITH

Original Issue Date

01/15/2003

Effective Date

01/15/2003

Expiration Date

05/31/2004

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/27/2006

Case Number

2002008563

Action

Suspension

Discipline Start Date

05/24/2004

Discipline Reason

Violated the terms and conditions of a Care, Counseling and Treatment Agreement.