KIMBERLY MARIE GODDARD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

MARIE

Last Name

GODDARD

Business Name

KIMBERLY MARIE GODDARD

Original Issue Date

10/29/2025

Effective Date

10/29/2025

Expiration Date

05/31/2026

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026