NICOLE LYNN KOZAK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007236

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

LYNN

Last Name

KOZAK

Business Name

NICOLE LYNN KOZAK

Original Issue Date

08/27/2008

Effective Date

05/13/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012