BETH ANN GOMEZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****56

License Status

NOT RENEWED

Business

First Name

BETH

Middle

ANN

Last Name

GOMEZ

Business Name

BETH ANN GOMEZ

Original Issue Date

06/08/2022

Effective Date

06/08/2022

Expiration Date

06/30/2024

City

DES PLAINES

State

Zip

60016

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025