DANA ANN GOODMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041185466

License Status

INACTIVE

Business

First Name

DANA ANN

Last Name

GOODMAN

Business Name

DANA ANN GOODMAN

Original Issue Date

10/16/1978

Effective Date

05/09/2016

Expiration Date

05/31/2018

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/06/2018