TERRANCE LAINE KUPER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005673

License Status

NOT RENEWED

Business

First Name

TERRANCE

Middle

LAINE

Last Name

KUPER

Business Name

TERRANCE LAINE KUPER

Original Issue Date

08/25/2005

Effective Date

06/01/2018

Expiration Date

09/30/2020

City

JACKSON

State

Zip

38305

County

TENNESSEE

Ever Disciplined

LastModifiedDate

01/14/2021