ELLEN LORRAINE GOLDSWORTHY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003254

License Status

INACTIVE

Business

First Name

ELLEN LORRAINE

Last Name

GOLDSWORTHY

Business Name

ELLEN LORRAINE GOLDSWORTHY

Original Issue Date

07/23/2001

Effective Date

04/26/2016

Expiration Date

05/31/2018

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/01/2018