AMANDA S GOODRUM - Registered Nurse License in Illinois | # 043112403

AMANDA S GOODRUM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043112403

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

S

Last Name

GOODRUM

Business Name

AMANDA S GOODRUM

Original Issue Date

03/25/2011

Effective Date

03/25/2011

Expiration Date

01/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

03/20/2013