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*****85

License Status

INACTIVE

Business

First Name

GEORGINA

Middle

GONZALEZ

Last Name

LOPEZ

Business Name

GEORGINA GONZALEZ LOPEZ

Original Issue Date

12/27/2013

Effective Date

05/30/2018

Expiration Date

09/30/2020

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020