THEOPHILES HARRIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089663

License Status

NOT RENEWED

Business

First Name

THEOPHILES

Last Name

HARRIS

Business Name

THEOPHILES HARRIS

Original Issue Date

03/16/2004

Effective Date

10/21/2009

Expiration Date

01/31/2011

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/10/2011

Case Number

2011000057

Action

Refuse To Renew

Discipline Start Date

02/16/2011

Discipline Reason

for being more than 30 days delinquent in the payment of child support.