SAMANTHA KAY KOZAK LIEM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209017903

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

KAY KOZAK

Last Name

LIEM

Business Name

SAMANTHA KAY KOZAK LIEM

Original Issue Date

08/01/2018

Effective Date

05/30/2024

Expiration Date

05/31/2026

City

WAYNE

State

Zip

60184

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/02/2026