CYNTHIA L CHAMPLAIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043074926

License Status

NOT RENEWED

Business

First Name

CYNTHIA L

Last Name

CHAMPLAIN

Business Name

CYNTHIA L CHAMPLAIN

Original Issue Date

01/05/1994

Effective Date

01/10/2017

Expiration Date

01/31/2019

City

STILLMAN VALLEY

State

Zip

61084

County

OGLE

Ever Disciplined

LastModifiedDate

03/28/2019