MARY KATHERINE GOODMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037488

License Status

INACTIVE

Business

First Name

MARY KATHERINE

Last Name

GOODMAN

Business Name

MARY KATHERINE GOODMAN

Original Issue Date

06/10/1975

Effective Date

01/30/2009

Expiration Date

01/31/2011

City

ALEDO

State

Zip

61231

County

MERCER

Ever Disciplined

LastModifiedDate

11/03/2010