Registered Nurse
LICENSED PRACTICAL NURSE
043084959
NOT RENEWED
N
CARLA
MARYETTA
KAMP
CARLA MARYETTA KAMP
05/24/2000
02/05/2015
01/31/2017
ALTON
IL
62002
MADISON
Y
01/10/2018
2016006536
Suspension
10/07/2016
01/09/2018
Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 01/10/2018.