Department of Public Health
Board of Nursing
IVY CHAMP
Registered Nurse
License number
98599
Date granted
03/08/2011
Date expires
09/30/2014
Class
Registered Nurse
Status
Active
Address
72 KIRKSIDE AVE, New Haven, MILFORD, CT, 06460-5918
nursingct.org
ID 4497080
LAST UPDATED 2024-04-15 16:16:53 UTC
LAST UPDATED 2024-04-15 16:16:53 UTC
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