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*****97

License Status

INACTIVE

Business

First Name

GEORGINA

Middle

GONZALEZ

Last Name

LOPEZ

Business Name

GEORGINA GONZALEZ LOPEZ

Original Issue Date

04/04/2012

Effective Date

04/04/2012

Expiration Date

05/31/2014

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

03/22/2012