JULISSA GOMEZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079215

License Status

NOT RENEWED

Business

First Name

JULISSA

Last Name

GOMEZ

Business Name

JULISSA GOMEZ

Original Issue Date

05/08/1996

Effective Date

09/17/2010

Expiration Date

01/31/2011

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

03/10/2011