BRADLEY TAIT GOETTL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209030581

License Status

INACTIVE

Business

First Name

BRADLEY

Middle

TAIT

Last Name

GOETTL

Business Name

BRADLEY TAIT GOETTL

Original Issue Date

09/16/2024

Effective Date

09/16/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60614

Ever Disciplined

LastModifiedDate

01/23/2025