HALEY R HERBOTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043124030

License Status

NOT RENEWED

Business

First Name

HALEY

Middle

Last Name

HERBOTH

Business Name

HALEY R HERBOTH

Original Issue Date

05/11/2017

Effective Date

01/29/2019

Expiration Date

01/31/2021

City

EFFINGHAM

State

Zip

62401

Ever Disciplined

LastModifiedDate

03/11/2021