KATHLEEN ANN KOCIAK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

NOT RENEWED

Business

First Name

KATHLEEN ANN

Last Name

KOCIAK

Business Name

KATHLEEN ANN KOCIAK

Original Issue Date

08/25/2005

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

08/11/2010