ELLEN CLAIRE GOULET Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041192666

License Status

NOT RENEWED

Business

First Name

ELLEN CLAIRE

Last Name

GOULET

Business Name

ELLEN CLAIRE GOULET

Original Issue Date

10/17/1979

Effective Date

10/17/1979

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006