ELLEN MARIE KOPETZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083610

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

MARIE

Last Name

KOPETZ

Business Name

ELLEN MARIE KOPETZ

Original Issue Date

04/09/1999

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

BETHANY

State

Zip

61914

County

MOULTRIE

Ever Disciplined

LastModifiedDate

10/21/2005