CHITTRA CHUTIVANICH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041159906

License Status

NOT RENEWED

Business

First Name

CHITTRA

Last Name

CHUTIVANICH

Business Name

CHITTRA CHUTIVANICH

Original Issue Date

02/13/1975

Effective Date

06/04/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

2018011629

Action

Suspension

Discipline Start Date

02/08/2019

Discipline End Date

11/22/2022

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 11/23/2022.