MARILYNN L CHAMPION Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041119370

License Status

INACTIVE

Business

First Name

MARILYNN L

Last Name

CHAMPION

Business Name

MARILYNN L CHAMPION

Original Issue Date

11/07/1966

Effective Date

11/07/1966

Expiration Date

05/31/2006

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006