MICHAEL P SOUTHWICK - Advanced Practice Nurse License in Illinois | # 209001708

MICHAEL P SOUTHWICK

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001708

License Status

NOT RENEWED

Business

N

First Name

MICHAEL P

Last Name

SOUTHWICK

Business Name

MICHAEL P SOUTHWICK

Original Issue Date

06/26/2001

Effective Date

04/18/2016

Expiration Date

05/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

07/19/2018