HAROLD L CHAMPLIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043018824

License Status

NOT RENEWED

Business

First Name

HAROLD L

Last Name

CHAMPLIN

Business Name

HAROLD L CHAMPLIN

Original Issue Date

03/23/1967

City

ROCKFORD

State

Zip

61101

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005