MEGAN MICHELE KOTLARZ Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****56

License Status

INACTIVE

Business

First Name

MEGAN

Middle

MICHELE

Last Name

KOTLARZ

Business Name

MEGAN MICHELE KOTLARZ

Original Issue Date

09/13/2017

Effective Date

05/07/2022

Expiration Date

05/31/2024

City

MELROSE PARK

State

Zip

60160

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023