SHONTAVIA RICHARDSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043128780

License Status

NOT RENEWED

Business

First Name

SHONTAVIA

Last Name

RICHARDSON

Business Name

SHONTAVIA RICHARDSON

Original Issue Date

05/19/2020

Effective Date

12/22/2022

Expiration Date

02/28/2025

City

MADISON

State

Zip

62060

Ever Disciplined

LastModifiedDate

05/08/2025

Case Number

2023002083

Action

Suspension

Discipline Start Date

05/22/2023

Discipline End Date

06/21/2023

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 06/26/2023.