FARLA J CHAMP - Registered Nurse License in Illinois | # 043076025

FARLA J CHAMP

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043076025

License Status

NOT RENEWED

Business

N

First Name

FARLA

Middle

J

Last Name

CHAMP

Business Name

FARLA J CHAMP

Original Issue Date

09/03/1994

Expiration Date

01/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005