MICHAEL P SOUTHWICK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041167914

License Status

NOT RENEWED

Business

First Name

MICHAEL P

Last Name

SOUTHWICK

Business Name

MICHAEL P SOUTHWICK

Original Issue Date

08/09/1976

Effective Date

04/18/2016

Expiration Date

05/31/2018

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

07/19/2018