MARTHA A GOMEZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041337880

License Status

INACTIVE

Business

First Name

MARTHA

Middle

Last Name

GOMEZ

Business Name

MARTHA A GOMEZ

Original Issue Date

10/10/2003

Effective Date

05/18/2012

Expiration Date

05/31/2014

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

03/06/2014