OLIVIA E GOETZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****89

License Status

NOT RENEWED

Business

First Name

OLIVIA

Middle

Last Name

GOETZ

Business Name

OLIVIA E GOETZ

BusinessDBA

OLIVIA ELLEN GOETZ

Original Issue Date

11/16/2021

Effective Date

09/24/2022

Expiration Date

06/30/2024

City

NAPERVILLE

State

Zip

60540

Delegated Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

02/05/2025