MILDRED C SOUTHWORTH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041007190

License Status

INACTIVE

Business

First Name

MILDRED C

Last Name

SOUTHWORTH

Business Name

MILDRED C SOUTHWORTH

Original Issue Date

02/03/1919

Effective Date

02/03/1919

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

09/27/2006