SHONTELL M BURCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041372678

License Status

NOT RENEWED

Business

First Name

SHONTELL

Middle

Last Name

BURCH

Business Name

SHONTELL M BURCH

Original Issue Date

10/30/2008

Effective Date

09/23/2022

Expiration Date

06/30/2024

City

MADISON

State

Zip

62060

County

MADISON

Ever Disciplined

LastModifiedDate

02/05/2025

Case Number

2023003006

Action

Suspension

Discipline Start Date

06/20/2023

Discipline End Date

02/20/2024

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 02/21/2024.