MARYANNE GOETHALS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041111642

License Status

INACTIVE

Business

First Name

MARYANNE

Last Name

GOETHALS

Business Name

MARYANNE GOETHALS

Original Issue Date

11/25/1964

Effective Date

03/19/2012

Expiration Date

05/31/2014

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

03/06/2014