LISA M MILES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041339497

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

MILES

Business Name

LISA M MILES

Original Issue Date

03/18/2004

Effective Date

05/31/2016

Expiration Date

05/31/2018

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/19/2018

Case Number

2018003021

Action

Suspension

Discipline Start Date

06/08/2018

Discipline End Date

09/29/2022

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 09/30/2022.