EARL M GODDARD - Registered Nurse License in Illinois | # 043035899

EARL M GODDARD

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035899

License Status

INACTIVE

Business

N

First Name

EARL M

Last Name

GODDARD

Business Name

EARL M GODDARD

Original Issue Date

01/30/1975

Expiration Date

01/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005