LARRY J KOTEWA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000656

License Status

NOT RENEWED

Business

First Name

LARRY J

Last Name

KOTEWA

Business Name

LARRY J KOTEWA

Original Issue Date

06/06/2001

Effective Date

04/10/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021