MARTHA S KOZUB Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041266212

License Status

NOT RENEWED

Business

First Name

MARTHA S

Last Name

KOZUB

Business Name

MARTHA S KOZUB

Original Issue Date

11/13/1991

Effective Date

11/13/1991

Expiration Date

05/31/2008

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

07/11/2008