POLLY A CAMPBELL Registered Nurse License verification

POLLY A CAMPBELL

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041381629

License Status

NOT RENEWED

Business

First Name

POLLY

Middle

Last Name

CAMPBELL

Business Name

POLLY A CAMPBELL

Original Issue Date

01/28/2010

Effective Date

07/09/2012

Expiration Date

05/31/2014

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

02/07/2017

Case Number

2015010533

Action

Refuse To Renew

Discipline Start Date

01/30/2017

Discipline Reason

due to a sister state discipline in the state of Kentucky. It was brought to the Department's attention that on or about November 3, 2015, the Kentucky Board of Nursing imposed a reprimand on Respondent's registered nurse license for having tested positive for amphetamines at a facility in the state of Kentucky. Respondent failed to report the Order to this Department.