FAYE MARIA KOPPLIN Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

INOPERATIVE

Business

First Name

FAYE MARIA

Last Name

KOPPLIN

Business Name

FAYE MARIA KOPPLIN

Original Issue Date

06/09/2003

Effective Date

04/26/2016

Expiration Date

05/31/2018

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

03/01/2018