PHYLLIS KAREN GOODPASTER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041142491

License Status

NOT RENEWED

Business

First Name

PHYLLIS KAREN

Last Name

GOODPASTER

Business Name

PHYLLIS KAREN GOODPASTER

Original Issue Date

11/23/1971

Effective Date

05/22/2018

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021