TERRY L SOPER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

Last Name

SOPER

Business Name

TERRY L SOPER

Original Issue Date

05/23/2011

Effective Date

03/08/2012

Expiration Date

05/31/2014

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

07/03/2014