BERNICE M KOZAK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043076633

License Status

INACTIVE

Business

First Name

BERNICE M

Last Name

KOZAK

Business Name

BERNICE M KOZAK

Original Issue Date

11/15/1994

Effective Date

11/03/2000

Expiration Date

01/31/2001

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/15/2005