DERRIL L MACK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041399537

License Status

ACTIVE

Business

First Name

DERRIL

Middle

Last Name

MACK

Business Name

DERRIL L MACK

Original Issue Date

02/21/2012

Effective Date

04/18/2024

Expiration Date

05/31/2026

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/28/2026

Case Number

2018003212

Action

Refuse to Renew

Discipline Start Date

04/30/2018

Discipline End Date

05/23/2018

Discipline Reason

More Than 30 Days Delinquent in the Payment of Child Support