TIMOTHY ALLAN GOOSBY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041301506

License Status

NOT RENEWED

Business

First Name

TIMOTHY ALLAN

Last Name

GOOSBY

Business Name

TIMOTHY ALLAN GOOSBY

Original Issue Date

01/08/1997

Effective Date

03/06/2014

Expiration Date

05/31/2016

City

BARRON

State

Zip

54812

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/03/2016

Case Number

2015010105

Action

Revocation

Discipline Start Date

11/23/2016