SHERRILL D KOOPOT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041124013

License Status

NOT RENEWED

Business

First Name

SHERRILL D

Last Name

KOOPOT

Business Name

SHERRILL D KOOPOT

Original Issue Date

11/02/1967

Effective Date

11/02/1967

Expiration Date

05/31/2006

City

PARADISE VALLEY

State

Zip

85253

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/09/2006