LARRY J KOTEWA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041261550

License Status

NOT RENEWED

Business

First Name

LARRY J

Last Name

KOTEWA

Business Name

LARRY J KOTEWA

Original Issue Date

03/16/1991

Effective Date

04/10/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021