ROSEMARY GOMILLA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041102533

License Status

NOT RENEWED

Business

First Name

ROSEMARY

Last Name

GOMILLA

Business Name

ROSEMARY GOMILLA

Original Issue Date

04/02/1962

Effective Date

04/02/1962

Expiration Date

05/01/1982

City

APPLETON

State

Zip

54911

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006