LISA-GAYE KEISHA CHUNG-GOULBOURNE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041454690

License Status

NOT RENEWED

Business

First Name

LISA-GAYE

Middle

KEISHA

Last Name

CHUNG-GOULBOURNE

Business Name

LISA-GAYE KEISHA CHUNG-GOULBOURNE

Original Issue Date

07/11/2017

Effective Date

03/26/2018

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

County

FLORIDA

Ever Disciplined

LastModifiedDate

01/14/2021