KEITH A FELLERS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041258370

License Status

NOT RENEWED

Business

First Name

KEITH A

Last Name

FELLERS

Business Name

KEITH A FELLERS

Original Issue Date

09/15/1990

Effective Date

05/17/2018

Expiration Date

09/30/2020

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

09/18/2021

Case Number

2021004537

Action

Suspension

Discipline Start Date

09/17/2021

Discipline End Date

01/08/2024

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 01/09/2024.