IDA D POPPE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043044647

License Status

INACTIVE

Business

First Name

IDA D

Last Name

POPPE

Business Name

IDA D POPPE

Original Issue Date

06/29/1978

Expiration Date

01/31/1995

City

STANFORD

State

Zip

61774

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/21/2005