Registered Nurse
LICENSED PRACTICAL NURSE
043044513
NOT RENEWED
N
IDA B
JONES
IDA B JONES
06/29/1978
03/04/2005
01/31/2005
HAMMOND
IN
46324
LAKE
Y
10/15/2005
2004002759
Suspension
07/06/2005
Failed to file and/or pay Illinois income taxes.