DUSTIN R ANDERSON Registered Nurse License verification

DUSTIN R ANDERSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043117108

License Status

NOT RENEWED

Business

First Name

DUSTIN

Middle

Last Name

ANDERSON

Business Name

DUSTIN R ANDERSON

Original Issue Date

07/17/2013

Effective Date

07/17/2013

Expiration Date

01/31/2015

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

08/07/2015

Case Number

2014010168

Action

Refuse To Renew

Discipline Start Date

07/29/2015

Discipline Reason

after failed to assess and chart resident with history of COPD and congestive heart failure, and failed to notify supervisor and physician of a change of the resident's condition on September 16, 2014 at Gardenview Manor, Danville, IL.