JODY RANDOLPH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041175306

License Status

NOT RENEWED

Business

First Name

JODY

Last Name

RANDOLPH

Business Name

JODY RANDOLPH

Original Issue Date

10/12/1977

Effective Date

05/19/2016

Expiration Date

05/31/2018

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/19/2018