LISA L GOLDBERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043058910

License Status

NOT RENEWED

Business

First Name

LISA L

Last Name

GOLDBERG

Business Name

LISA L GOLDBERG

Original Issue Date

12/27/1983

Effective Date

11/03/2010

Expiration Date

01/31/2013

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/20/2013