TIMOTHY P GOUGH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041302442

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

GOUGH

Business Name

TIMOTHY P GOUGH

Original Issue Date

04/08/1997

Effective Date

03/08/2010

Expiration Date

05/31/2012

City

RIPON

State

Zip

54971

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/10/2012