DERRICK J KOZLOWSKI Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041341394

License Status

ACTIVE

Business

First Name

DERRICK

Middle

Last Name

KOZLOWSKI

Business Name

DERRICK J KOZLOWSKI

Original Issue Date

07/30/2004

Effective Date

05/01/2024

Expiration Date

05/31/2026

City

VALPARAISO

State

Zip

46385

Ever Disciplined

LastModifiedDate

02/28/2026