STACI L HOMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085286

License Status

NOT RENEWED

Business

First Name

STACI

Middle

Last Name

HOMAN

Business Name

STACI L HOMAN

Original Issue Date

09/14/2000

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

10/15/2005