JEFFREY C GOETZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

Last Name

GOETZ

Business Name

JEFFREY C GOETZ

Original Issue Date

03/11/2016

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

CAMP POINT

State

Zip

62320

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026