CLAYTON ANTHONY KOSSACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043129727

License Status

NOT RENEWED

Business

First Name

CLAYTON

Middle

ANTHONY

Last Name

KOSSACK

Business Name

CLAYTON ANTHONY KOSSACK

Original Issue Date

11/30/2020

Effective Date

11/13/2022

Expiration Date

02/28/2025

City

GRANTSBURG

State

Zip

62943

County

JOHNSON

Ever Disciplined

LastModifiedDate

05/08/2025