NATHAN J GOETZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041374071

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

Last Name

GOETZ

Business Name

NATHAN J GOETZ

Original Issue Date

02/19/2009

Effective Date

04/13/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/10/2012