PHYLLIS A KOPIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041085091

License Status

NOT RENEWED

Business

First Name

PHYLLIS A

Last Name

KOPIN

Business Name

PHYLLIS A KOPIN

Original Issue Date

11/07/1956

Effective Date

04/29/2014

Expiration Date

05/31/2016

City

MULKEYTOWN

State

Zip

62865

County

FRANKLIN

Ever Disciplined

LastModifiedDate

07/11/2016