TIFFANY D BAILEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041305893

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

BAILEY

Business Name

TIFFANY D BAILEY

Original Issue Date

09/15/1997

Effective Date

05/19/2010

Expiration Date

05/31/2012

City

QUEEN CREEK

State

Zip

85143

County

ARIZONA

Ever Disciplined

LastModifiedDate

07/10/2012

Case Number

2011010167

Action

Suspension

Discipline Start Date

01/27/2012

Discipline End Date

06/20/2012

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 06/21/2012.