KIMBERLY MARIE GODDARD Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002673

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

MARIE

Last Name

GODDARD

Business Name

KIMBERLY MARIE GODDARD

Original Issue Date

01/24/2000

Effective Date

04/12/2001

Expiration Date

01/23/2001

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/31/2005