LAVERN K GOODLAD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041057464

License Status

NOT RENEWED

Business

First Name

LAVERN K

Last Name

GOODLAD

Business Name

LAVERN K GOODLAD

Original Issue Date

07/03/1947

Effective Date

07/03/1947

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/27/2006