BRANDI M CLARK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043126961

License Status

ACTIVE

Business

First Name

BRANDI

Middle

Last Name

CLARK

Business Name

BRANDI M CLARK

Original Issue Date

03/21/2019

Effective Date

12/19/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60623

Ever Disciplined

LastModifiedDate

12/19/2024

Case Number

2024007977

Action

Suspension

Discipline Start Date

11/11/2024

Discipline End Date

11/21/2024

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 11/22/2024.