JERRY GLEN CHAMPION - Registered Nurse License in Illinois | # 041351311

JERRY GLEN CHAMPION

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041351311

License Status

NOT RENEWED

Business

N

First Name

JERRY

Middle

GLEN

Last Name

CHAMPION

Business Name

JERRY GLEN CHAMPION

Original Issue Date

03/01/2006

Effective Date

06/02/2014

Expiration Date

05/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2016