| Name | LAUREN M GOETZ |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| COA.01311-NM | Certified Nurse MidWife | 06/09/1997 | 08/12/2013 | 08/31/2015 | DECEASED | Prior Reprimand | |||||||||
| CTP.01311- | Prescriptive Authority | 06/06/2005 | 08/12/2013 | 08/31/2015 | DECEASED | Prior Reprimand | |||||||||
| CTP.01311-EX1 | Prescriptive Authority - Externship | 06/06/2005 | 06/06/2005 | 05/16/2006 | INACTIVE | ||||||||||
| RN.141810-1 | Registered Nurse-1 Certificate of Authority | 03/31/1976 | 08/12/2013 | 08/31/2015 | DECEASED | Prior Reprimand | Examination | ||||||||