MARY M LEIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041440016

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

LEIS

Business Name

MARY M LEIS

Original Issue Date

03/24/2016

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

LINN CREEK

State

Zip

65052

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

2019007987

Action

Suspension

Discipline Start Date

11/04/2019

Discipline Reason

Failure to file and/or pay Illinois state income taxes.