ROBERTA JEANETTE COPPOCK - Registered Nurse License in Illinois | # 041319636

ROBERTA JEANETTE COPPOCK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041319636

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2008