JACKIE ROXANA CAMP Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043071051

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

ROXANA

Last Name

CAMP

Business Name

JACKIE ROXANA CAMP

Original Issue Date

01/16/1992

Expiration Date

01/31/1999

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

05/27/2005