MARTHA LENNON KOPHAMER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041168237

License Status

NOT RENEWED

Business

First Name

MARTHA

Middle

LENNON

Last Name

KOPHAMER

Business Name

MARTHA LENNON KOPHAMER

Original Issue Date

11/01/1976

Effective Date

05/29/2020

Expiration Date

08/31/2022

City

MORRISON

State

Zip

61270

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/14/2022