Registered Nurse
LICENSED PRACTICAL NURSE
043080192
ACTIVE
N
JUSTIN T
PAYNE
JUSTIN T PAYNE
11/12/1996
01/16/2025
01/31/2027
COUNTRY CLUB HILLS
IL
60478
COOK
Y
01/28/2025
2019000051
Suspension
03/18/2019
08/23/2019
Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 08/26/2019.