Michael W Copollo Registered Nurse - Temporary
105 E Beam St, Porter, IN 463041702


Michael W Copollo is licensed in the eLicensing system of Connecticut. The license credential ID is 1357513. The license type is Registered Nurse - Temporary. The license status is ACTIVE. The address is 105 E Beam St, Porter, IN 463041702. The zip code is 46304.


Michael W Copollo · 105 E Beam St, Porter, IN 463041702

Credential ID 1357513
Name MICHAEL W COPOLLO
Type INDIVIDUAL
Address 105 E BEAM ST
PORTER, IN 463041702
License Credential Registered Nurse - Temporary
Credential Subcategory TEMP
Full Credential Code 10.134154-TEMP
Credential Type 10
Credential Number 134154
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 05/31/2016
Effective Date 05/31/2016
Expiration Date 09/27/2016
Record Refresh Date 05/31/201

MICHAEL W COPOLLO · Connecticut Business

Michael W Copollo · Registered Nurse 105 E Beam St, Porter, IN 463041702

Zip 46304 · Connecticut Business

Michael W Copollo · Registered Nurse 105 E Beam St, Porter, IN 463041702

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