Appraiser Registry Report

Matthew Hummel

0Credentials
0With Disciplinary Action

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1Alabama

First Name Matthew
Middle NameAllen
Last NameHummel
Name Suffix
Company Name CBRE, Inc.
Street 3822 W. 58th Street
City Fairway
State KS
Zip 66205
County JOHNSON
Telephone 816-304-2519
Status Active
Credential Number G01572
Credential Type Certified General
Effective Date of Credential 05-03-2022
Expiration Date of Credential 09-30-2026
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
Alabama Email
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1Arizona

First Name Matthew
Middle NameAllen
Last NameHummel
Name Suffix
Company Name
Street 4520 MAIN ST., Ste 600
City KANSAS CITY
State MO
Zip 64111
County JACKSON
Telephone 816-304-2519
Status Active
Credential Number 1005370
Credential Type Certified General
Effective Date of Credential 01-02-2020
Expiration Date of Credential 12-31-2025
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1California

First Name Matthew
Middle NameA
Last NameHummel
Name Suffix
Company Name CBRE
Street 3822 W 58th St
City Fairway
State KS
Zip 66205
County JOHNSON
Telephone 816-304-2519
Status Active
Credential Number 3002505
Credential Type Certified General
Effective Date of Credential 08-22-2022
Expiration Date of Credential 08-21-2026
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
California Website
California Email
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1Colorado

First Name Matthew
Middle NameA
Last NameHummel
Name Suffix
Company Name
Street 3822 W 58th St
City Fairway
State KS
Zip 66205
County JOHNSON
Telephone 8163042519
Status Active
Credential Number CG200003363
Credential Type Certified General
Effective Date of Credential 11-01-2023
Expiration Date of Credential 12-31-2025
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
Colorado Website
Colorado Email
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1Connecticut

First Name MATTHEW
Middle NameA
Last NameHUMMEL
Name Suffix
Company Name
Street 3822 W 58TH ST
City FAIRWAY
State KS
Zip 66205-3435
County
Telephone
Status Active
Credential Number RCG.0002066
Credential Type Certified General
Effective Date of Credential 05-01-2025
Expiration Date of Credential 04-30-2026
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
Connecticut Email
DCP.RealEstateAppraisal@ct.gov
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1Georgia

First Name MATTHEW
Middle NameALLEN
Last NameHUMMEL
Name Suffix
Company Name
Street 3822 W 58TH STREET
City MISSION
State KS
Zip 66205
County JOHNSON
Telephone 816-304-2519
Status Active
Credential Number CG394283
Credential Type Certified General
Effective Date of Credential 07-17-2019
Expiration Date of Credential 09-30-2025
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1Illinois

First Name MATTHEW
Middle NameA
Last NameHUMMEL
Name Suffix
Company Name
Street 3822 WEST 58TH STREET
City FAIRWAY
State KS
Zip 66205
County JOHNSON
Telephone
Status Active
Credential Number 553.002534
Credential Type Certified General
Effective Date of Credential 07-02-2025
Expiration Date of Credential 09-30-2027
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
Illinois Email
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1Iowa

First Name Matthew
Middle Name
Last NameHummel
Name Suffix
Company Name CBRE
Street 3822 W. 58th Street
City Fairway
State KS
Zip 66205
County JOHNSON
Telephone 913 677-4600
Status Active
Credential Number CG03581
Credential Type Certified General
Effective Date of Credential 11-08-2017
Expiration Date of Credential 06-30-2026
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1Kansas

First Name Matthew
Middle NameA
Last NameHummel
Name Suffix
Company Name
Street 4520 Main Street, Suite 600
City Kansas City
State MO
Zip 64111
County Jackson
Telephone 816-304-2519
Status Active
Credential Number 2959
Credential Type Certified General
Effective Date of Credential 03-07-2025
Expiration Date of Credential 06-30-2026
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
Kansas Website
Kansas Email
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1Kentucky

First Name Matthew
Middle NameAllen
Last NameHummel
Name Suffix
Company Name CBRE
Street 3822 W. 58th Street
City Fairway
State KS
Zip 66205
County JOHNSON
Telephone 8163042519
Status Active
Credential Number 5566
Credential Type Certified General
Effective Date of Credential 01-09-2020
Expiration Date of Credential 07-01-2026
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
Kentucky Website
Kentucky Email
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1Louisiana

First Name Matthew
Middle Name
Last NameHummel
Name Suffix
Company Name
Street
City KANSAS CITY
State MO
Zip 64111
County JACKSON
Telephone 816-304-2519
Status Active
Credential Number 4883
Credential Type Certified General
Effective Date of Credential 03-02-2022
Expiration Date of Credential 12-31-2025
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
Louisiana Website
Louisiana Email
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1Massachusetts

First Name MATTHEW
Middle NameALLEN
Last NameHUMMEL
Name Suffix
Company Name
Street 3822 W. 58TH STREET
City FAIRWAY
State KS
Zip 66205
County JOHNSON
Telephone
Status Active
Credential Number 1000249
Credential Type Certified General
Effective Date of Credential 06-06-2022
Expiration Date of Credential 09-10-2026
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1Michigan

First Name Matthew
Middle Name
Last NameHummel
Name Suffix
Company Name
Street
City Fairway
State KS
Zip 66205
County NON-MICHIGAN COUNTY
Telephone 8163042519
Status Inactive
Credential Number 1205075419
Credential Type Certified General
Effective Date of Credential 12-10-2015
Expiration Date of Credential 07-31-2016
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1Missouri

First Name Matthew
Middle Name
Last NameHummel
Name Suffix
Company Name
Street 3822 W 58th St
City Fairway
State KS
Zip 66205
County UNKNOWN/OUT OF STATE
Telephone 8163042519
Status Active
Credential Number 2014030618
Credential Type Certified General
Effective Date of Credential 08-25-2014
Expiration Date of Credential 06-30-2026
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
Missouri Email
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1Nevada

First Name MATTHEW
Middle Name
Last NameHUMMEL
Name Suffix
Company Name CBRE
Street 3822 W 58TH ST
City FAIRWAY
State KS
Zip 66205
County JOHNSON
Telephone 816-304-2519
Status Active
Credential Number A.0208562-CG
Credential Type Certified General
Effective Date of Credential 05-31-2022
Expiration Date of Credential 05-31-2026
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
Nevada Email
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1New Jersey

First Name Matthew
Middle NameA
Last NameHummel
Name Suffix
Company Name
Street CBRE 4520 Main Street, Suite #600
City Kansas City
State MO
Zip 64111
County JACKSON
Telephone 816-968-5891
Status Active
Credential Number 42RG00277700
Credential Type Certified General
Effective Date of Credential 10-27-2021
Expiration Date of Credential 12-31-2025
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
New Jersey Email
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1New Mexico

First Name Matthew
Middle NameA.
Last NameHummel
Name Suffix
Company Name
Street 6700 Anitoch, Ste. 450
City Merriam
State KS
Zip 66204
County JOHNSON
Telephone
Status Inactive
Credential Number 03446-L
Credential Type Licensed
Effective Date of Credential 10-07-2015
Expiration Date of Credential 04-30-2017
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1New York

First Name MATTHEW
Middle NameA
Last NameHUMMEL
Name Suffix
Company Name CBRE
Street 4520 MAIN STREET
City KANSAS CITY
State MO
Zip 64111
County JACKSON
Telephone
Status Active
Credential Number 46000053122
Credential Type Certified General
Effective Date of Credential 10-16-2024
Expiration Date of Credential 10-15-2026
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
New York Email
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1North Carolina

First Name MATTHEW
Middle NameA
Last NameHUMMEL
Name Suffix
Company Name CBRE
Street 3822 W 58TH ST
City FAIRWAY
State KS
Zip 66205
County JOHNSON
Telephone (816) 304-2519
Status Active
Credential Number A8555
Credential Type Certified General
Effective Date of Credential 07-16-2020
Expiration Date of Credential 06-30-2026
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
North Carolina Email
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1North Dakota

First Name Matthew
Middle NameA
Last NameHummel
Name Suffix
Company Name Novogradac & Company LLP
Street 6700 Antioch Road, Suite 450
City Merriam
State KS
Zip 66204
County JOHNSON
Telephone 913-312-4617
Status Inactive
Credential Number CG-21878
Credential Type Certified General
Effective Date of Credential 02-18-2018
Expiration Date of Credential 12-31-2018
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
North Dakota Email
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1Oklahoma

First Name Matthew
Middle NameA
Last NameHummel
Name Suffix
Company Name
Street 3822 W 58th St
City Fairway
State KS
Zip 66205
County JOHNSON
Telephone 816-304-2519
Status Active
Credential Number 13350CGA
Credential Type Certified General
Effective Date of Credential 09-05-2018
Expiration Date of Credential 07-31-2026
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1Pennsylvania

First Name MATTHEW
Middle Name
Last NameHUMMEL
Name Suffix
Company Name
Street 3822 W 58TH STREET
City FAIRWAY
State KS
Zip 66205
County JOHNSON
Telephone
Status Active
Credential Number GA004622
Credential Type Certified General
Effective Date of Credential 02-04-2022
Expiration Date of Credential 06-30-2027
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1South Carolina

First Name MATTHEW
Middle Name
Last NameHUMMEL
Name Suffix
Company Name
Street 3822 W 58TH STREET
City FAIRWAY
State KS
Zip 66205
County JOHNSON
Telephone
Status Active
Credential Number 7974
Credential Type Certified General
Effective Date of Credential 04-01-2024
Expiration Date of Credential 06-30-2026
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
South Carolina Website
South Carolina Email
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1South Dakota

First Name MATTHEW
Middle NameA
Last NameHUMMEL
Name Suffix
Company Name NOVOGRADAC & CO
Street 6700 ANTIOCH RD # 450
City MERRIAM
State KS
Zip 66204
County JOHNSON
Telephone 913-312-4617
Status Inactive
Credential Number 1429CG
Credential Type Certified General
Effective Date of Credential 09-04-2018
Expiration Date of Credential 09-30-2019
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
South Dakota Email
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1South Dakota

First Name Matthew
Middle NameA.
Last NameHummel
Name Suffix
Company Name Novogradac & Company LLP
Street 6700 Antioch Road, Suite 450
City Merriam
State KS
Zip 66204
County JOHNSON
Telephone 913-677-4600
Status Inactive
Credential Number 1429CG-2017R
Credential Type Certified General
Effective Date of Credential 05-12-2017
Expiration Date of Credential 09-30-2017
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
South Dakota Email
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1Tennessee

First Name Matthew
Middle Name
Last NameHummel
Name Suffix
Company Name HUMMEL, MATTHEW
Street 3822 W 58th Street
City FAIRWAY
State KS
Zip 66205
County Johnson
Telephone 816-304-2519
Status Active
Credential Number 5994
Credential Type Certified General
Effective Date of Credential 04-21-2021
Expiration Date of Credential 04-20-2027
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1Texas

First Name Matthew
Middle NameA
Last NameHummel
Name Suffix
Company Name
Street
City
State
Zip
County
Telephone
Status Active
Credential Number 1380416
Credential Type Certified General
Effective Date of Credential 02-05-2015
Expiration Date of Credential 02-28-2027
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
Texas Email
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1Virginia

First Name MATTHEW
Middle NameALLEN
Last NameHUMMEL
Name Suffix
Company Name
Street 3822 W 58TH ST
City FAIRWAY
State KS
Zip 66205
County JOHNSON
Telephone
Status Active
Credential Number 4001017803
Credential Type Certified General
Effective Date of Credential 03-07-2019
Expiration Date of Credential 03-31-2027
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
Virginia Email
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1Washington

First Name MATTHEW
Middle NameA
Last NameHUMMEL
Name Suffix
Company Name Novogradac & Company LLP
Street 3822 W 58TH STREET
City FAIRWAY
State KS
Zip 66206
County JOHNSON
Telephone 913-262-3500
Status Inactive
Credential Number 1102285
Credential Type Certified General
Effective Date of Credential 06-19-2014
Expiration Date of Credential 09-10-2021
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
Washington Email
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State

1Maryland

First Name MATTHEW
Middle NameALLEN
Last NameHUMMEL
Name Suffix
Company Name
Street 3822 W. 58TH STREET
City FAIRWAY
State KS
Zip 66205
County JOHNSON
Telephone
Status Active
Credential Number 40034754
Credential Type Certified General
Effective Date of Credential 08-14-2025
Expiration Date of Credential 08-28-2028
Conforms to AQB Yes
Future Effective Date
Future Expiration Date
Maryland Email
State Data Last Updated On
Disciplinary and Other Actions The National Registry reports as public information active disciplinary actions that limit an appraiser’s ability to appraise (current revocations, suspensions, and voluntary surrenders in lieu of discipline).
Discipline Action Type Effective Date Ending Date
Temporary Discipline Actions
Temporary Practice Number State License ID State Action Description End Date State Date Issuing State