JENNIFER ANN CHAMPAGNE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041328781

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ANN

Last Name

CHAMPAGNE

Business Name

JENNIFER ANN CHAMPAGNE

Original Issue Date

03/12/2002

Effective Date

03/12/2002

Expiration Date

05/31/2006

City

HOUMA

State

Zip

70360

County

LOUISIANA

Ever Disciplined

LastModifiedDate

10/09/2006