KEITH E HOMER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043058855

License Status

NOT RENEWED

Business

First Name

KEITH E

Last Name

HOMER

Business Name

KEITH E HOMER

Original Issue Date

12/27/1983

Expiration Date

01/31/1989

City

DAHINDA

State

Zip

61428

County

KNOX

Ever Disciplined

LastModifiedDate

10/21/2005