MARY E LIST Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041414183

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

LIST

Business Name

MARY E LIST

Original Issue Date

08/15/2013

Effective Date

09/23/2020

Expiration Date

08/31/2022

City

GALENA

State

Zip

61036

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

10/14/2022

Case Number

2022004149

Action

Suspension

Discipline Start Date

08/01/2022

Discipline End Date

05/24/2023

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 05/25/2023.