MARTHA E BOEREMA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041279650

License Status

NOT RENEWED

Business

First Name

MARTHA E

Last Name

BOEREMA

Business Name

MARTHA E BOEREMA

Original Issue Date

04/09/1994

Effective Date

08/18/2020

Expiration Date

08/31/2022

City

CHAMPAIGN

State

Zip

61822

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/14/2022

Case Number

2018000239

Action

Suspension

Discipline Start Date

03/23/2018

Discipline End Date

04/25/2018

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 04/26/2018.