AMANDA S GOODRUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043112403

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

GOODRUM

Business Name

AMANDA S GOODRUM

Original Issue Date

03/25/2011

Effective Date

03/25/2011

Expiration Date

01/31/2013

City

HOOPESTON

State

Zip

60942

County

VERMILION

Ever Disciplined

LastModifiedDate

03/20/2013