GEORGINA GONZALEZ LOPEZ Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009329

License Status

INACTIVE

Business

First Name

GEORGINA

Middle

GONZALEZ

Last Name

LOPEZ

Business Name

GEORGINA GONZALEZ LOPEZ

Original Issue Date

01/04/2012

Effective Date

05/29/2018

Expiration Date

09/30/2020

City

WINFIELD

State

Zip

46307

County

LAKE

Ever Disciplined

LastModifiedDate

03/08/2020