LISA A GOTTWALT Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115154

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

GOTTWALT

Business Name

LISA A GOTTWALT

Original Issue Date

08/08/2012

Effective Date

12/28/2024

Expiration Date

01/31/2027

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

12/28/2024