MARY A KOZAK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043059330

License Status

INACTIVE

Business

First Name

MARY A

Last Name

KOZAK

Business Name

MARY A KOZAK

Original Issue Date

07/16/1984

Expiration Date

01/31/1997

City

BENLD

State

Zip

62009

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/21/2005