STACEY L GOODSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043113636

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

GOODSON

Business Name

STACEY L GOODSON

Original Issue Date

10/11/2011

Effective Date

10/11/2011

Expiration Date

01/31/2013

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

03/20/2013