KELLY P GODDARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041279447

License Status

NOT RENEWED

Business

First Name

KELLY P

Last Name

GODDARD

Business Name

KELLY P GODDARD

Original Issue Date

03/26/1994

Effective Date

03/26/1994

Expiration Date

05/31/1996

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006