TERRY L SOPER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008819

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

Last Name

SOPER

Business Name

TERRY L SOPER

Original Issue Date

05/05/2011

Effective Date

04/24/2014

Expiration Date

05/31/2016

City

WEST BEND

State

Zip

53095

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/11/2016