Lisa Diane Goodrum
ExpiredCalifornia license 647099
License
- Licensed by
- California Board of Registered Nursing
- License number
- 647099
- Status
- Expired (Delinquent)
- First issued
- October 28, 2004
- Expired
- August 31, 2012
- License holder
- Lisa Diane Goodrum
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
600 Treasure Cay Dr.
Apt 101
Ft. Pierce, FL 34947
Apt 101
Ft. Pierce, FL 34947
St. Lucie County