Name | TIMOTHY ALAN UPPOLE |
City/State |
License and Registration Information | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
PN.102962-M-IV | Licensed Practical Nurse - M-IV | 07/28/1998 | 08/29/2014 | 08/31/2016 | ACTIVE | Prior Reprimand | Endorsement |