HEATHER M KOTOWICZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

ACTIVE

Business

First Name

HEATHER

Middle

Last Name

KOTOWICZ

Business Name

HEATHER M KOTOWICZ

Original Issue Date

01/03/2019

Effective Date

04/19/2024

Expiration Date

05/31/2026

City

BURR RIDGE

State

Zip

60527

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026