RAELENE J GOODWIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086609

License Status

NOT RENEWED

Business

First Name

RAELENE

Middle

Last Name

GOODWIN

Business Name

RAELENE J GOODWIN

Original Issue Date

10/11/2001

Effective Date

01/31/2005

Expiration Date

01/31/2007

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

03/16/2007