CATHERINE A GENTZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

NOT RENEWED

Business

First Name

CATHERINE

Middle

Last Name

GENTZ

Business Name

CATHERINE A GENTZ

Original Issue Date

11/10/2005

Effective Date

04/07/2016

Expiration Date

05/31/2018

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/19/2018