LEOTA K POPHAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043051571

License Status

INACTIVE

Business

First Name

LEOTA K

Last Name

POPHAM

Business Name

LEOTA K POPHAM

Original Issue Date

01/08/1981

Expiration Date

01/31/1993

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/21/2005