CAROLYN F MOORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041229294

License Status

NOT RENEWED

Business

First Name

CAROLYN F

Last Name

MOORE

Business Name

CAROLYN F MOORE

Original Issue Date

05/13/1985

Effective Date

06/01/2016

Expiration Date

05/31/2018

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

07/19/2018

Case Number

2017005362

Action

Suspension

Discipline Start Date

08/18/2017

Discipline End Date

09/05/2018

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 09/06/2018.