DOROTHY L CHAMPION Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043061329

License Status

NOT RENEWED

Business

First Name

DOROTHY L

Last Name

CHAMPION

Business Name

DOROTHY L CHAMPION

Original Issue Date

06/25/1985

Effective Date

01/04/2017

Expiration Date

01/31/2019

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/28/2019