MARLON M DOMINGUEZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041336348

License Status

NOT RENEWED

Business

First Name

MARLON

Middle

Last Name

DOMINGUEZ

Business Name

MARLON M DOMINGUEZ

Original Issue Date

08/01/2003

Effective Date

04/27/2020

Expiration Date

08/31/2022

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

10/14/2022

Case Number

2021011952

Action

Suspension

Discipline Start Date

03/07/2022

Discipline End Date

09/19/2024

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 09/23/2024.