Registered Nurse
LICENSED PRACTICAL NURSE
043063920
NOT RENEWED
N
MARY
E
HEAFNER
MARY E HEAFNER
01/17/1987
01/07/2019
01/31/2021
GEORGETOWN
IL
61846
VERMILION
Y
03/11/2021
2016010675
Suspension
02/17/2017
08/27/2018
Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 09/20/2018.