MARK Z SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043105969

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

SMITH

Business Name

MARK Z SMITH

Original Issue Date

07/16/2008

Effective Date

01/29/2015

Expiration Date

01/31/2017

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/27/2017

Case Number

2012011394

Action

Suspension

Discipline Start Date

11/16/2012

Discipline End Date

04/01/2013

Discipline Reason

for being more than 30 days delinquent in the payment of child support.