MARDELL M HOMB Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041169901

License Status

NOT RENEWED

Business

First Name

MARDELL M

Last Name

HOMB

Business Name

MARDELL M HOMB

Original Issue Date

11/01/1976

Effective Date

05/26/2016

Expiration Date

05/31/2018

City

WARREN

State

Zip

61087

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

07/19/2018