SHAMILLE DESRI MABORN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043126993

License Status

NOT RENEWED

Business

First Name

SHAMILLE

Middle

DESRI

Last Name

MABORN

Business Name

SHAMILLE DESRI MABORN

Original Issue Date

04/01/2019

Effective Date

01/28/2023

Expiration Date

02/28/2025

City

MOUNDS

State

Zip

62964

Ever Disciplined

LastModifiedDate

05/08/2025

Case Number

2024003874

Action

Suspension

Discipline Start Date

07/08/2024

Discipline Reason

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