DIANE MARIE GOODMAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005692

License Status

NOT RENEWED

Business

First Name

DIANE MARIE

Last Name

GOODMAN

Business Name

DIANE MARIE GOODMAN

Original Issue Date

09/01/2005

Effective Date

04/28/2014

Expiration Date

05/31/2016

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/11/2016