JERRY GLEN CHAMPION Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041351311

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

GLEN

Last Name

CHAMPION

Business Name

JERRY GLEN CHAMPION

Original Issue Date

03/01/2006

Effective Date

06/02/2014

Expiration Date

05/31/2016

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

07/11/2016