JANA T GOODALL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****98

License Status

INACTIVE

Business

First Name

JANA

Middle

Last Name

GOODALL

Business Name

JANA T GOODALL

Original Issue Date

10/09/2014

Effective Date

04/12/2018

Expiration Date

09/30/2020

City

ELGIN

State

Zip

60123

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2018