BETH ANN GOMEZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

ACTIVE

Business

First Name

BETH

Middle

ANN

Last Name

GOMEZ

Business Name

BETH ANN GOMEZ

Original Issue Date

02/14/2023

Effective Date

04/01/2024

Expiration Date

05/31/2026

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026