ERIC R SOUTHARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041319376

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

Last Name

SOUTHARD

Business Name

ERIC R SOUTHARD

Original Issue Date

05/03/2000

Effective Date

05/03/2000

Expiration Date

05/31/2006

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006