KELLY M KRZOSEK Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****56

License Status

INOPERATIVE

Business

First Name

KELLY

Middle

Last Name

KRZOSEK

Business Name

KELLY M KRZOSEK

Original Issue Date

12/21/2017

Effective Date

03/18/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2022