MARY JO COPENHAVER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041109871

License Status

NOT RENEWED

Business

First Name

MARY JO

Last Name

COPENHAVER

Business Name

MARY JO COPENHAVER

Original Issue Date

04/27/1964

Effective Date

05/07/2014

Expiration Date

05/31/2016

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/11/2016