EGLA S GOMEZ Registered Nurse License verification

EGLA S GOMEZ

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041406864

License Status

NOT RENEWED

Business

First Name

EGLA

Middle

Last Name

GOMEZ

Business Name

EGLA S GOMEZ

Original Issue Date

10/25/2012

Effective Date

05/25/2016

Expiration Date

05/31/2018

City

BEARDSTOWN

State

Zip

62618

County

CASS

Ever Disciplined

LastModifiedDate

08/27/2020

Case Number

2019012357

Action

Refuse To Renew

Discipline Start Date

08/24/2020

Discipline Reason

registered professional nurse license placed in refuse to renew status due to respondent's criminal conviction of Forgery, a Class 4 Felony on October 2, 2019 and sentenced to three years imprisonment in the Illinois Department of Corrections.