DIANA R KOZAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083035

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

KOZAK

Business Name

DIANA R KOZAK

Original Issue Date

11/06/1998

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/17/2009