MONIKA S KOZUCH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

ACTIVE

Business

First Name

MONIKA

Middle

Last Name

KOZUCH

Business Name

MONIKA S KOZUCH

Original Issue Date

01/19/2022

Effective Date

03/27/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60629

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026