FARRELL GODBOUT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009305

License Status

NOT RENEWED

Business

First Name

FARRELL

Last Name

GODBOUT

Business Name

FARRELL GODBOUT

Original Issue Date

12/13/2011

Effective Date

04/18/2018

Expiration Date

09/30/2020

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021