JILL L GOTHARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041175135

License Status

NOT RENEWED

Business

First Name

JILL L

Last Name

GOTHARD

Business Name

JILL L GOTHARD

Original Issue Date

10/12/1977

Effective Date

06/01/2018

Expiration Date

09/30/2020

City

MONROE

State

Zip

53566

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021