KEITH E HOMER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041246060

License Status

NOT RENEWED

Business

First Name

KEITH E

Last Name

HOMER

Business Name

KEITH E HOMER

Original Issue Date

10/31/1987

Effective Date

06/02/2020

Expiration Date

08/31/2022

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/14/2022