SUSHA MATHEW KOOPLICAT - Registered Nurse License in Georgia | # 041330051

SUSHA MATHEW KOOPLICAT

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041330051

License Status

INACTIVE

Business

N

First Name

SUSHA

Middle

MATHEW

Last Name

KOOPLICAT

Business Name

SUSHA MATHEW KOOPLICAT

Original Issue Date

05/20/2002

Effective Date

05/20/2002

Expiration Date

05/31/2008

State

GA

Ever Disciplined

N

LastModifiedDate

03/11/2008