DANA M GOLDBERG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041357301

License Status

INACTIVE

Business

First Name

DANA

Middle

Last Name

GOLDBERG

Business Name

DANA M GOLDBERG

Original Issue Date

11/17/2006

Effective Date

09/02/2020

Expiration Date

08/31/2022

City

SOUTH BEND

State

Zip

46617

County

INDIANA

Ever Disciplined

LastModifiedDate

09/01/2022