HEATHER A SOUTHERN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041478065

License Status

ACTIVE

Business

First Name

HEATHER

Middle

Last Name

SOUTHERN

Business Name

HEATHER A SOUTHERN

Original Issue Date

04/11/2019

Effective Date

04/16/2024

Expiration Date

05/31/2026

City

MORRISON

State

Zip

61270

County

WHITESIDE

Ever Disciplined

LastModifiedDate

03/01/2026