MARK J KOPILASH - Registered Nurse License in Indiana | # 041337838

MARK J KOPILASH

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041337838

License Status

INACTIVE

Business

N

First Name

MARK

Middle

J

Last Name

KOPILASH

Business Name

MARK J KOPILASH

Original Issue Date

10/09/2003

Effective Date

09/30/2010

Expiration Date

05/31/2012

State

IN

Ever Disciplined

N

LastModifiedDate

03/08/2012