SHARON LEE SOUTHWOOD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036129

License Status

INACTIVE

Business

First Name

SHARON LEE

Last Name

SOUTHWOOD

Business Name

SHARON LEE SOUTHWOOD

Original Issue Date

01/30/1975

Effective Date

01/25/2001

Expiration Date

01/31/2001

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/15/2005