MARY SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049353

License Status

NOT RENEWED

Business

First Name

MARY

Last Name

SMITH

Business Name

MARY SMITH

Original Issue Date

07/02/1980

Effective Date

02/02/2009

Expiration Date

01/31/2011

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

03/10/2011

Case Number

2010006195

Action

Suspension

Discipline Start Date

10/15/2010

Discipline End Date

12/14/2010

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 12/15/2010.