| Name | ANJULI MICHELLE KOLARIK |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| COA.14150-NP | Certified Nurse Practitioner | 12/20/2012 | 12/20/2012 | 08/31/2013 | INACTIVE | ||||||||||
| RN.358822- | Registered Nurse | 04/06/2010 | 09/01/2015 | 08/31/2017 | ACTIVE | Examination | |||||||||
| License and Registration Information (cont.) | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | Specialty 1 | Certifying Org 1 | Certifying ExpDate 1 | Specialty 2 | Certifying Org 2 | Certifying ExpDate 2 | Specialty 3 | Certifying Org 3 | Certifying ExpDate 3 | ||||||||
| COA.14150-NP | NP - ADULT | ANCC | 9/19/2017 | ||||||||||||||
| Effective February 1, 2011, the Board will require primary source verification for advanced practice nurse national recertification. For this to occur, an advanced practice nurse must request that their national certifying organization notify the Board directly of national recertification within thirty days of their recertification. The Board will no longer accept documentation of recertification directly from a COA holder. | |||||||||||||||||