SHIRLEY A GOODMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043075860

License Status

INACTIVE

Business

First Name

SHIRLEY A

Last Name

GOODMAN

Business Name

SHIRLEY A GOODMAN

Original Issue Date

07/28/1994

Effective Date

11/29/2004

Expiration Date

01/31/2007

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

11/03/2006