KIM C GOMEZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083686

License Status

NOT RENEWED

Business

First Name

KIM

Middle

Last Name

GOMEZ

Business Name

KIM C GOMEZ

Original Issue Date

05/07/1999

Effective Date

03/15/2012

Expiration Date

01/31/2013

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

03/20/2013