M JUDITH KOZAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041191577

License Status

NOT RENEWED

Business

First Name

M JUDITH

Last Name

KOZAK

Business Name

M JUDITH KOZAK

Original Issue Date

10/17/1979

Effective Date

08/15/2008

Expiration Date

05/31/2010

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

08/16/2010