ROBERTA JEANETTE COPPOCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041319636

License Status

NOT RENEWED

Business

First Name

ROBERTA

Middle

JEANETTE

Last Name

COPPOCK

Business Name

ROBERTA JEANETTE COPPOCK

Original Issue Date

05/22/2000

Effective Date

05/22/2000

Expiration Date

05/31/2008

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

07/11/2008