AMANDA MARIE KOTOWSKI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****96

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

MARIE

Last Name

KOTOWSKI

Business Name

AMANDA MARIE KOTOWSKI

Original Issue Date

10/07/2005

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

08/11/2010