LA SHAUN CULBERTSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041287984

License Status

NOT RENEWED

Business

First Name

LA SHAUN

Last Name

CULBERTSON

Business Name

LA SHAUN CULBERTSON

Original Issue Date

06/06/1995

Effective Date

05/09/2016

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018

Case Number

2017011944

Action

Suspension

Discipline Start Date

02/23/2018

Discipline End Date

04/19/2018

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 04/20/2018.