FARLA J CHAMP - Registered Nurse License in Illinois | # 041297751

FARLA J CHAMP

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041297751

License Status

NOT RENEWED

Business

N

First Name

FARLA

Middle

J

Last Name

CHAMP

Business Name

FARLA J CHAMP

Original Issue Date

07/19/1996

Effective Date

06/05/2012

Expiration Date

05/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

02/09/2015