PENNY M GOODMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025889

License Status

INACTIVE

Business

First Name

PENNY M

Last Name

GOODMAN

Business Name

PENNY M GOODMAN

Original Issue Date

12/17/1969

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

11/10/2008