JULIA C KOKLYS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

INACTIVE

Business

First Name

JULIA

Middle

Last Name

KOKLYS

Business Name

JULIA C KOKLYS

Original Issue Date

01/10/2011

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

LOCKPORT

State

Zip

60441

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2018