RICHARD S SOUTHWELL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041180210

License Status

INACTIVE

Business

First Name

RICHARD S

Last Name

SOUTHWELL

Business Name

RICHARD S SOUTHWELL

Original Issue Date

05/08/1978

Effective Date

05/08/1978

Expiration Date

05/31/2004

City

WARRENSBURG

State

Zip

62573

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006