HARRIET KERLISA CAMP Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041192946

License Status

NOT RENEWED

Business

First Name

HARRIET KERLISA

Last Name

CAMP

Business Name

HARRIET KERLISA CAMP

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/01/1982

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006