MARJORIE M COPPOLA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041214912

License Status

NOT RENEWED

Business

First Name

MARJORIE M

Last Name

COPPOLA

Business Name

MARJORIE M COPPOLA

Original Issue Date

12/07/1982

Effective Date

12/07/1982

Expiration Date

05/31/1986

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006