FARLA J CHAMP Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043076025

License Status

NOT RENEWED

Business

First Name

FARLA

Middle

Last Name

CHAMP

Business Name

FARLA J CHAMP

Original Issue Date

09/03/1994

Expiration Date

01/31/1999

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/27/2005