DAVID WAYNE CHURCH Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041405287

License Status

ACTIVE

Business

First Name

DAVID

Middle

WAYNE

Last Name

CHURCH

Business Name

DAVID WAYNE CHURCH

Original Issue Date

08/20/2012

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

02/28/2026