CAROLE A MIETELSKI Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043122189

License Status

NOT RENEWED

Business

First Name

CAROLE

Middle

Last Name

MIETELSKI

Business Name

CAROLE A MIETELSKI

Original Issue Date

02/29/2016

Effective Date

01/11/2021

Expiration Date

01/31/2023

City

TOMAHAWK

State

Zip

54487

Ever Disciplined

LastModifiedDate

03/31/2023

Case Number

2019005002

Action

Suspension

Discipline Start Date

08/12/2019

Discipline End Date

10/10/2019

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 10/11/2019.