KATHLEEN ANN KOCIAK Advanced Practice Nurse License verification

Business Entity

CANCELLED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****49

License Status

CANCELLED

Business

First Name

KATHLEEN ANN

Last Name

KOCIAK

Business Name

KATHLEEN ANN KOCIAK

Original Issue Date

06/07/2002

Effective Date

06/07/2002

Expiration Date

05/31/2006

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

09/28/2006