DIANE MARIE GOODMAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

NOT RENEWED

Business

First Name

DIANE MARIE

Last Name

GOODMAN

Business Name

DIANE MARIE GOODMAN

Original Issue Date

04/14/2006

Effective Date

04/29/2014

Expiration Date

05/31/2016

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

07/11/2016