KRISTINA NICOLE SOUTHERLAND Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020105

License Status

ACTIVE

Business

First Name

KRISTINA

Middle

NICOLE

Last Name

SOUTHERLAND

Business Name

KRISTINA NICOLE SOUTHERLAND

Original Issue Date

09/23/2019

Effective Date

05/20/2024

Expiration Date

05/31/2026

City

WILLOW SPRINGS

State

Zip

60480

Ever Disciplined

LastModifiedDate

03/02/2026