FRED R HAMPTON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041147820

License Status

NOT RENEWED

Business

First Name

FRED R

Last Name

HAMPTON

Business Name

FRED R HAMPTON

Original Issue Date

04/16/1973

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

CHARLESTON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

01/14/2021