JACQUELINE D ELAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041335750

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

ELAM

Business Name

JACQUELINE D ELAM

Original Issue Date

07/18/2003

Effective Date

08/23/2022

Expiration Date

06/30/2024

City

PHOENIX

State

Zip

85032

Ever Disciplined

LastModifiedDate

02/05/2025

Case Number

2019004833

Action

Suspension

Discipline Start Date

08/09/2019

Discipline End Date

11/18/2019

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 11/19/2019.