NICOLE LYNN KOZAK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

LYNN

Last Name

KOZAK

Business Name

NICOLE LYNN KOZAK

Original Issue Date

01/02/2009

Effective Date

05/14/2010

Expiration Date

05/31/2012

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012