BENJAMIN L LEWIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043091251

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

LEWIS

Business Name

BENJAMIN L LEWIS

Original Issue Date

03/29/2005

Effective Date

01/20/2015

Expiration Date

01/31/2017

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

03/27/2017

Case Number

2013004391

Action

Suspension

Discipline Start Date

08/09/2013

Discipline End Date

12/09/2013

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 12/11/2013.