KELLIE JO KOZMA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005942

License Status

INACTIVE

Business

First Name

KELLIE

Middle

Last Name

KOZMA

Business Name

KELLIE JO KOZMA

Original Issue Date

02/24/2006

Effective Date

06/19/2008

Expiration Date

05/31/2010

City

MILTON

State

Zip

30004

County

GEORGIA

Ever Disciplined

LastModifiedDate

03/05/2010