ANDREA L GAULITZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041445609

License Status

INACTIVE

Business

First Name

ANDREA

Middle

Last Name

GAULITZ

Business Name

ANDREA L GAULITZ

Original Issue Date

08/24/2016

Effective Date

04/18/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61108

Ever Disciplined

LastModifiedDate

03/08/2020