BEATA KACZKOWSKI Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

INACTIVE

Business

First Name

BEATA

Last Name

KACZKOWSKI

Business Name

BEATA KACZKOWSKI

Original Issue Date

09/20/2017

Effective Date

06/25/2022

Expiration Date

05/31/2024

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

06/25/2022