DEBRA ELAINE SHA HOMAMPOUR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041187555

License Status

NOT RENEWED

Business

First Name

DEBRA ELAINE SHA

Last Name

HOMAMPOUR

Business Name

DEBRA ELAINE SHA HOMAMPOUR

Original Issue Date

05/07/1979

Effective Date

05/07/1979

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

09/27/2006