CHRISTY L SHUMATE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041350179

License Status

NOT RENEWED

Business

First Name

CHRISTY

Middle

Last Name

SHUMATE

Business Name

CHRISTY L SHUMATE

Original Issue Date

11/22/2005

Effective Date

06/04/2008

Expiration Date

05/31/2010

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/16/2010

Case Number

2009002978

Action

Suspension

Discipline Start Date

05/26/2009

Discipline End Date

10/29/2009

Discipline Reason

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