MARJORIE A KOZLOWSKI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

NOT RENEWED

Business

First Name

MARJORIE A

Last Name

KOZLOWSKI

Business Name

MARJORIE A KOZLOWSKI

Original Issue Date

01/20/2005

Effective Date

04/27/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60639

County

LAKE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021