KILBY A BRANDT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041191490

License Status

NOT RENEWED

Business

First Name

KILBY A

Last Name

BRANDT

Business Name

KILBY A BRANDT

Original Issue Date

10/17/1979

Effective Date

05/02/2016

Expiration Date

05/31/2018

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/19/2018

Case Number

2017000478

Action

Suspension

Discipline Start Date

03/26/2017

Discipline End Date

04/12/2017

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 04/12/2017.