Registered Nurse
LICENSED PRACTICAL NURSE
043089936
ACTIVE
N
MARIE
A
FORREST
MARIE A FORREST
07/08/2004
01/13/2025
01/31/2027
COLUMBIA
MO
65202
Y
01/13/2025
2013000857
Suspension
08/20/2016
08/30/2016
Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 08/31/2016.