ASHLEY N KOPPERUD - Registered Nurse License in Illinois | # 043090764

ASHLEY N KOPPERUD

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090764

License Status

NOT RENEWED

Business

N

First Name

ASHLEY

Middle

N

Last Name

KOPPERUD

Business Name

ASHLEY N KOPPERUD

Original Issue Date

12/02/2004

Effective Date

12/02/2004

Expiration Date

01/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

03/16/2007