LOLA F SOUPIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043004186

License Status

NOT RENEWED

Business

First Name

LOLA F

Last Name

SOUPIS

Business Name

LOLA F SOUPIS

Expiration Date

05/01/1982

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/21/2005