MICHAEL P SOUTHWICK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001708

License Status

NOT RENEWED

Business

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

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

07/19/2018