SALLY J GOOCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043052614

License Status

NOT RENEWED

Business

First Name

SALLY

Middle

Last Name

GOOCH

Business Name

SALLY J GOOCH

Original Issue Date

01/13/1982

Effective Date

12/08/2014

Expiration Date

01/31/2017

City

OAKWOOD

State

Zip

61858

County

VERMILION

Ever Disciplined

LastModifiedDate

03/27/2017