ROBIN L GOODWIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****98

License Status

NOT RENEWED

Business

First Name

ROBIN

Middle

Last Name

GOODWIN

Business Name

ROBIN L GOODWIN

Original Issue Date

05/19/2017

Effective Date

08/02/2022

Expiration Date

06/30/2024

City

URBANA

State

Zip

61801

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025