TIMOTHY ALLAN GOOSBY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003284

License Status

NOT RENEWED

Business

First Name

TIMOTHY ALLAN

Last Name

GOOSBY

Business Name

TIMOTHY ALLAN GOOSBY

Original Issue Date

07/24/2001

Effective Date

03/06/2014

Expiration Date

05/31/2016

City

BARRON

State

Zip

54812

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/03/2016

Case Number

2015010105

Action

Revocation

Discipline Start Date

11/23/2016

Discipline Reason

due to sister-state discipline in the state of California.