Registered Nurse
LICENSED PRACTICAL NURSE
043020660
NOT RENEWED
N
EVA MARIA
FRED
EVA MARIA FRED
10/02/1967
01/03/2013
01/31/2015
BENTON
IL
62812
FRANKLIN
Y
12/24/2015
2015008841
Suspension
12/22/2015
03/25/2019
Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 03/26/2019.