KELLY L KOSCINSKI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

KOSCINSKI

Business Name

KELLY L KOSCINSKI

Original Issue Date

07/16/2020

Effective Date

02/09/2023

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60631

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025