MELISSA A HACKWITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043117981

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

HACKWITH

Business Name

MELISSA A HACKWITH

Original Issue Date

11/04/2013

Effective Date

02/02/2015

Expiration Date

01/31/2017

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

03/27/2017

Case Number

2014007291

Action

Suspension

Discipline Start Date

06/30/2016

Discipline Reason

for having failed to report her termination by a healthcare institution, which occurred on or about October 21, 2014, to the Department.