THERESA M KOPALA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043007269

License Status

NOT RENEWED

Business

First Name

THERESA M

Last Name

KOPALA

Business Name

THERESA M KOPALA

Original Issue Date

10/05/1956

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005