SAMANTHA PERKINS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043108137

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Last Name

PERKINS

Business Name

SAMANTHA PERKINS

Original Issue Date

06/23/2009

Effective Date

04/11/2019

Expiration Date

01/31/2021

City

GARY

State

Zip

46404

Ever Disciplined

LastModifiedDate

09/20/2021

Case Number

2018007032

Action

Suspension

Discipline Start Date

09/23/2018

Discipline End Date

11/09/2018

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 11/13/2018.