KANCHANA LICZKOWSKI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004140

License Status

NOT RENEWED

Business

First Name

KANCHANA

Last Name

LICZKOWSKI

Business Name

KANCHANA LICZKOWSKI

Original Issue Date

01/18/2002

Effective Date

06/01/2006

Expiration Date

05/31/2008

City

PUNTA GORDA

State

Zip

33950

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/11/2008