THERESA A KOPERNIK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041076972

License Status

NOT RENEWED

Business

First Name

THERESA A

Last Name

KOPERNIK

Business Name

THERESA A KOPERNIK

Original Issue Date

12/17/1953

Effective Date

03/18/2010

Expiration Date

05/31/2012

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/10/2012