JACQUELYN P BLACKBURN Registered Nurse License verification

JACQUELYN P BLACKBURN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016326

License Status

NOT RENEWED

Business

First Name

JACQUELYN P

Last Name

BLACKBURN

Business Name

JACQUELYN P BLACKBURN

Original Issue Date

10/06/1966

Effective Date

01/12/2009

Expiration Date

01/31/2011

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

03/10/2011

Case Number

2000003714

Action

Suspension

Discipline Start Date

05/23/2001

Discipline End Date

09/27/2001

Discipline Reason

Failed to file Illinois income tax returns from 1986 to 1989, and 1995 to 1999, and failed to pay Illinois income taxes from 1983 to 1985, 1990 and 1991.