STACIA ANN KOSAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041201858

License Status

NOT RENEWED

Business

First Name

STACIA ANN

Last Name

KOSAK

Business Name

STACIA ANN KOSAK

Original Issue Date

05/19/1981

Effective Date

05/19/1981

Expiration Date

05/01/1982

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006