TRINA S DRAKE Registered Nurse License verification

TRINA S DRAKE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043075664

License Status

NOT RENEWED

Business

First Name

TRINA S

Last Name

DRAKE

Business Name

TRINA S DRAKE

Original Issue Date

06/06/1994

Effective Date

01/15/2015

Expiration Date

01/31/2017

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

08/01/2018

Case Number

2017011106

Action

Refuse To Renew

Discipline Start Date

07/26/2018

Discipline Reason

plead guilty to Misdemeanor Class A Theft in the Circuit Court of the Sixth Judicial Circuit, Platt County, Illinois, Case No. 17-CM-49; failed to notify the IL State Board of Nursing of said conviction and forged the signature of a minor's mother on work records; failed to timely respond to a Department Notice of Intent to Refuse to Renew.