JOHNNIE L GOODWIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043056605

License Status

NOT RENEWED

Business

First Name

JOHNNIE L

Last Name

GOODWIN

Business Name

JOHNNIE L GOODWIN

Original Issue Date

03/09/1983

Effective Date

01/18/2011

Expiration Date

01/31/2013

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/20/2013