CASEY R FULLER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043128538

License Status

ACTIVE

Business

First Name

CASEY

Middle

Last Name

FULLER

Business Name

CASEY R FULLER

Original Issue Date

02/27/2020

Effective Date

04/21/2025

Expiration Date

01/31/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/21/2025

Case Number

2021009290

Action

Suspension

Discipline Start Date

01/03/2022

Discipline End Date

01/07/2022

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 01/10/2022.