BERNICE M KOTAPKA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041087279

License Status

NOT RENEWED

Business

First Name

BERNICE M

Last Name

KOTAPKA

Business Name

BERNICE M KOTAPKA

Original Issue Date

06/14/1957

Effective Date

06/14/1957

Expiration Date

05/31/1996

City

MOUNTAIN HOME

State

Zip

72653

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/27/2006