KODI L FAIRCONNETUE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043131490

License Status

ACTIVE

Business

First Name

KODI

Middle

Last Name

FAIRCONNETUE

Business Name

KODI L FAIRCONNETUE

Original Issue Date

02/01/2022

Effective Date

01/15/2025

Expiration Date

01/31/2027

City

SPRINGFIELD

State

Zip

62702

Ever Disciplined

LastModifiedDate

01/15/2025

Case Number

2023006735

Action

Suspension

Discipline Start Date

09/18/2023

Discipline End Date

11/08/2023

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 11/09/2023.