DARRELL ALENE SOPER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013230

License Status

NOT RENEWED

Business

First Name

DARRELL ALENE

Last Name

SOPER

Business Name

DARRELL ALENE SOPER

Original Issue Date

01/29/1965

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/15/2005