BLAINE E GOODMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041450154

License Status

NOT RENEWED

Business

First Name

BLAINE

Middle

Last Name

GOODMAN

Business Name

BLAINE E GOODMAN

Original Issue Date

02/15/2017

Effective Date

09/22/2020

Expiration Date

08/31/2022

City

ROLLA

State

Zip

65401

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/14/2022