HOMER G PUNSALAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041344641

License Status

NOT RENEWED

Business

First Name

HOMER

Middle

Last Name

PUNSALAN

Business Name

HOMER G PUNSALAN

Original Issue Date

02/24/2005

Effective Date

02/24/2005

Expiration Date

05/31/2008

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/11/2008