Registered Nurse
LICENSED PRACTICAL NURSE
043087479
ACTIVE
N
GRACE
M
BASHORUN
GRACE M BASHORUN
07/03/2002
01/22/2025
01/31/2027
IL
Y
2019008410
Suspension
11/15/2019
02/14/2020
Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 02/18/2020.