KEIYALDA E GROOM Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041356824

License Status

ACTIVE

Business

First Name

KEIYALDA

Middle

Last Name

GROOM

Business Name

KEIYALDA E GROOM

Original Issue Date

10/25/2006

Effective Date

06/18/2024

Expiration Date

05/31/2026

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

02/28/2026

Case Number

2021009915

Action

Suspension

Discipline Start Date

01/18/2022

Discipline End Date

07/14/2022

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 07/15/2022.