KESIAH M CLARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041356388

License Status

NOT RENEWED

Business

First Name

KESIAH

Middle

Last Name

CLARK

Business Name

KESIAH M CLARK

Original Issue Date

10/10/2006

Effective Date

09/23/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025

Case Number

2021004544

Action

Suspension

Discipline Start Date

09/17/2021

Discipline End Date

01/10/2022

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 01/11/2022.