Registered Nurse
LICENSED PRACTICAL NURSE
043128487
NOT RENEWED
N
MARDASIA
D
DAVIS
MARDASIA D DAVIS
02/24/2020
07/17/2023
02/28/2025
INDIANAPOLIS
IN
46221
MARION
Y
05/08/2025
2021010818
Suspension
02/14/2022
04/25/2022
Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 04/26/2022.