BERNICE M KOZAK - Registered Nurse License in Illinois | # 043076633

BERNICE M KOZAK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043076633

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005