MICHAEL RENE SOUTHWOOD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041213245

License Status

NOT RENEWED

Business

First Name

MICHAEL RENE

Last Name

SOUTHWOOD

Business Name

MICHAEL RENE SOUTHWOOD

Original Issue Date

11/04/1982

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

01/14/2021