KIMBERLY E GOODALL Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005860

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

GOODALL

Business Name

KIMBERLY E GOODALL

Original Issue Date

09/29/2000

Effective Date

11/27/2023

Expiration Date

11/30/2025

City

DULUTH

State

Zip

30097

Ever Disciplined

LastModifiedDate

03/05/2026