TIFFANY I KOZLICK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

ACTIVE

Business

First Name

TIFFANY

Middle

Last Name

KOZLICK

Business Name

TIFFANY I KOZLICK

Original Issue Date

03/09/2023

Effective Date

05/17/2024

Expiration Date

05/31/2026

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026