JULISSA GOMEZ - Registered Nurse License in Indiana | # 043079215

JULISSA GOMEZ

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079215

License Status

NOT RENEWED

Business

N

First Name

JULISSA

Last Name

GOMEZ

Business Name

JULISSA GOMEZ

Original Issue Date

05/08/1996

Effective Date

09/17/2010

Expiration Date

01/31/2011

State

IN

Ever Disciplined

N

LastModifiedDate

03/10/2011