ANN MARIE GODDARD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041176202

License Status

INACTIVE

Business

First Name

ANN MARIE

Last Name

GODDARD

Business Name

ANN MARIE GODDARD

Original Issue Date

10/12/1977

Effective Date

04/13/2012

Expiration Date

05/31/2014

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/06/2014