KELLIE M KOZLOWSKI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

ACTIVE

Business

First Name

KELLIE

Middle

Last Name

KOZLOWSKI

Business Name

KELLIE M KOZLOWSKI

Original Issue Date

02/01/2018

Effective Date

05/31/2024

Expiration Date

05/31/2026

City

PRINCETON

State

Zip

61356

County

BUREAU

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026