THERESA J HUMPHREY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041199640

License Status

NOT RENEWED

Business

First Name

THERESA J

Last Name

HUMPHREY

Business Name

THERESA J HUMPHREY

Original Issue Date

11/17/1980

Effective Date

09/28/2020

Expiration Date

08/31/2022

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/14/2022