KATHY ANN KOZAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043044919

License Status

NOT RENEWED

Business

First Name

KATHY ANN

Last Name

KOZAK

Business Name

KATHY ANN KOZAK

Original Issue Date

06/29/1978

Expiration Date

01/31/1985

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005