MARK J KOPILASH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041337838

License Status

INACTIVE

Business

First Name

MARK

Middle

Last Name

KOPILASH

Business Name

MARK J KOPILASH

Original Issue Date

10/09/2003

Effective Date

09/30/2010

Expiration Date

05/31/2012

City

HIGHLAND

State

Zip

46322

County

INDIANA

Ever Disciplined

LastModifiedDate

03/08/2012