STACI DIANNE GODWIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041419591

License Status

NOT RENEWED

Business

First Name

STACI

Middle

DIANNE

Last Name

GODWIN

Business Name

STACI DIANNE GODWIN

Original Issue Date

04/16/2014

Effective Date

05/05/2016

Expiration Date

05/31/2018

City

KAUKAUNA

State

Zip

54130

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/19/2018