CAROLYN K GOTHARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041217636

License Status

NOT RENEWED

Business

First Name

CAROLYN K

Last Name

GOTHARD

Business Name

CAROLYN K GOTHARD

Original Issue Date

11/08/1983

Effective Date

11/08/1983

Expiration Date

05/31/1994

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006