KAREN J KOTZ Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

INACTIVE

Business

First Name

KAREN

Middle

Last Name

KOTZ

Business Name

KAREN J KOTZ

Original Issue Date

09/21/2004

Effective Date

08/12/2020

Expiration Date

08/31/2022

City

PARK RIDGE

State

Zip

60068

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/27/2022