SYLVIA M SHAMBLIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041257480

License Status

NOT RENEWED

Business

First Name

SYLVIA

Middle

Last Name

SHAMBLIN

Business Name

SYLVIA M SHAMBLIN

Original Issue Date

05/05/1990

Effective Date

03/16/2020

Expiration Date

08/31/2022

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/18/2023

Case Number

2022003671

Action

Suspension

Discipline Start Date

07/18/2022

Discipline End Date

12/27/2022

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 12/28/2022.