NICHOLAS RAYMOND KOLASCZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209024602

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

RAYMOND

Last Name

KOLASCZ

Business Name

NICHOLAS RAYMOND KOLASCZ

Original Issue Date

12/29/2021

Effective Date

12/27/2022

Expiration Date

06/30/2024

City

GRAND RAPIDS

State

Zip

49503

Ever Disciplined

LastModifiedDate

02/05/2025