KIM D RUSSELL COOPER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041296366

License Status

NOT RENEWED

Business

First Name

KIM D

Last Name

RUSSELL COOPER

Business Name

KIM D RUSSELL COOPER

Original Issue Date

04/16/1996

Effective Date

04/16/1996

Expiration Date

05/31/1998

City

TERRE HAUTE

State

Zip

47805

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006