GEORGINA GONZALEZ LOPEZ Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

INACTIVE

Business

First Name

GEORGINA

Middle

GONZALEZ

Last Name

LOPEZ

Business Name

GEORGINA GONZALEZ LOPEZ

Original Issue Date

09/23/2015

Effective Date

05/30/2018

Expiration Date

09/30/2020

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

03/08/2020