KATHERINE BRENNEMAN GONZALEZ Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015236

License Status

INACTIVE

Business

First Name

KATHERINE

Middle

BRENNEMAN

Last Name

GONZALEZ

Business Name

KATHERINE BRENNEMAN GONZALEZ

Original Issue Date

12/05/2016

Effective Date

05/19/2020

Expiration Date

05/31/2022

City

PLEASANT VALLEY

State

Zip

12569

Ever Disciplined

LastModifiedDate

05/19/2020