MARY JANE GODWIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043040410

License Status

NOT RENEWED

Business

First Name

MARY JANE

Last Name

GODWIN

Business Name

MARY JANE GODWIN

Original Issue Date

02/02/1977

Effective Date

08/16/2010

Expiration Date

01/31/2011

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/10/2011