JOHNETTA G SOUTHERN - Registered Nurse License in Illinois | # 041058751

JOHNETTA G SOUTHERN

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041058751

License Status

INACTIVE

Business

N

First Name

JOHNETTA G

Last Name

SOUTHERN

Business Name

JOHNETTA G SOUTHERN

Original Issue Date

12/17/1947

Effective Date

12/17/1947

Expiration Date

05/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006