JOHNETTA G SOUTHERN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041058751

License Status

INACTIVE

Business

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

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006