DIANE MARIE GOODMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041179667

License Status

INACTIVE

Business

First Name

DIANE MARIE

Last Name

GOODMAN

Business Name

DIANE MARIE GOODMAN

Original Issue Date

03/08/1978

Effective Date

08/18/2022

Expiration Date

06/30/2024

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/30/2024