KATHLEEN KOZENIEWSKI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

ACTIVE

Business

First Name

KATHLEEN

Last Name

KOZENIEWSKI

Business Name

KATHLEEN KOZENIEWSKI

Original Issue Date

08/12/2022

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60622

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026