Mark William Koppenberg
ExpiredCalifornia license 95076426
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95076426
- Status
- Expired (Delinquent)
- First issued
- October 30, 2015
- Expired
- July 31, 2017
- License holder
- Mark William Koppenberg
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
3041 DuPont Ave S
Minneapolis, MN 55408-2706
Minneapolis, MN 55408-2706
Hennepin County