GEORGIANN M HOMUTH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

NOT RENEWED

Business

First Name

GEORGIANN M

Last Name

HOMUTH

Business Name

GEORGIANN M HOMUTH

Original Issue Date

11/13/2006

Effective Date

11/13/2006

Expiration Date

05/31/2008

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2008