IVY CELESTE GHOLSTON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104924

License Status

NOT RENEWED

Business

First Name

IVY

Middle

CELESTE

Last Name

GHOLSTON

Business Name

IVY CELESTE GHOLSTON

Original Issue Date

12/03/2007

Effective Date

02/01/2011

Expiration Date

01/31/2013

City

JENNINGS

State

Zip

63136

County

MISSOURI

Ever Disciplined

LastModifiedDate

03/20/2013

Case Number

2011010168

Action

Suspension

Discipline Start Date

01/27/2012

Discipline End Date

05/18/2012

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 05/21/2012.