GERALD G CHAMPAGNE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041355556

License Status

NOT RENEWED

Business

First Name

GERALD

Middle

Last Name

CHAMPAGNE

Business Name

GERALD G CHAMPAGNE

Original Issue Date

08/31/2006

Effective Date

08/31/2006

Expiration Date

05/31/2008

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

07/11/2008