BEVERLY JANE SOUTHERLAND Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041158348

License Status

INACTIVE

Business

First Name

BEVERLY JANE

Last Name

SOUTHERLAND

Business Name

BEVERLY JANE SOUTHERLAND

Original Issue Date

12/06/1974

Effective Date

12/06/1974

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

09/27/2006