CASEY R FULLER - Registered Nurse License in Illinois | # 043128538

CASEY R FULLER

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043128538

License Status

ACTIVE

Business

N

First Name

CASEY

Middle

R

Last Name

FULLER

Business Name

CASEY R FULLER

Original Issue Date

02/27/2020

Effective Date

04/21/2025

Expiration Date

01/31/2027

State

IL

Ever Disciplined

Y

LastModifiedDate

04/21/2025

Case Number

2024008634

Action

Suspension

Discipline Start Date

12/02/2024

Discipline End Date

03/26/2025

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 03/27/2025.