CAROLYN L KAZAKOS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041228622

License Status

NOT RENEWED

Business

First Name

CAROLYN L

Last Name

KAZAKOS

Business Name

CAROLYN L KAZAKOS

Original Issue Date

05/03/1985

Effective Date

05/19/2014

Expiration Date

05/31/2016

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2016