LAWRENCE J KOTALIK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041313399

License Status

NOT RENEWED

Business

First Name

LAWRENCE

Middle

Last Name

KOTALIK

Business Name

LAWRENCE J KOTALIK

Original Issue Date

03/09/1999

Effective Date

05/07/2022

Expiration Date

06/30/2024

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/05/2025