KIMBERLY SHANDRA MAXEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041406921

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

SHANDRA

Last Name

MAXEY

Business Name

KIMBERLY SHANDRA MAXEY

Original Issue Date

10/29/2012

Effective Date

06/02/2022

Expiration Date

06/30/2024

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/05/2025

Case Number

2022008914

Action

Suspension

Discipline Start Date

12/27/2022

Discipline Reason

Failure to file and/or pay Illinois state income taxes.