ALYCE R KOZAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041156163

License Status

NOT RENEWED

Business

First Name

ALYCE R

Last Name

KOZAK

Business Name

ALYCE R KOZAK

Original Issue Date

09/11/1974

Effective Date

09/11/1974

Expiration Date

05/31/2008

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2008