DIANA R KOZAK - Registered Nurse License in Wisconsin | # 043083035

DIANA R KOZAK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083035

License Status

NOT RENEWED

Business

N

First Name

DIANA

Middle

R

Last Name

KOZAK

Business Name

DIANA R KOZAK

Original Issue Date

11/06/1998

Effective Date

11/03/2006

Expiration Date

01/31/2009

State

WI

Ever Disciplined

N

LastModifiedDate

03/17/2009