NICOLE S SOPER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****74

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

SOPER

Business Name

NICOLE S SOPER

Original Issue Date

07/08/2016

Effective Date

04/03/2024

Expiration Date

05/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026