BRENNA K KOUZOUKAS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

INACTIVE

Business

First Name

BRENNA

Middle

Last Name

KOUZOUKAS

Business Name

BRENNA K KOUZOUKAS

Original Issue Date

03/09/2015

Effective Date

04/18/2024

Expiration Date

05/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/04/2025