NameLAUREN M GOETZ
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
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

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