ASHLEY N KOPPERUD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090764

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

Last Name

KOPPERUD

Business Name

ASHLEY N KOPPERUD

Original Issue Date

12/02/2004

Effective Date

12/02/2004

Expiration Date

01/31/2007

City

CARBONDALE

State

Zip

62901

Ever Disciplined

LastModifiedDate

03/16/2007