DENISE S SOUTHERN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041189451

License Status

NOT RENEWED

Business

First Name

DENISE S

Last Name

SOUTHERN

Business Name

DENISE S SOUTHERN

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/1984

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006