SUSHA MATHEW KOOPLICAT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041330051

License Status

INACTIVE

Business

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

City

STOCKBRIDGE

State

Zip

30281

County

HENRY

Ever Disciplined

LastModifiedDate

03/11/2008