MICHAEL S GOLDMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043102181

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

GOLDMAN

Business Name

MICHAEL S GOLDMAN

Original Issue Date

09/14/2006

Effective Date

11/30/2010

Expiration Date

01/31/2013

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

03/20/2013

Case Number

2011005809

Action

Revocation

Discipline Start Date

06/01/2012

Discipline Reason

For an aggravated domestic battery conviction.