CLARA A SOUTHERLAND Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043063382

License Status

NOT RENEWED

Business

First Name

CLARA A

Last Name

SOUTHERLAND

Business Name

CLARA A SOUTHERLAND

Original Issue Date

07/01/1986

Expiration Date

01/31/1989

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/30/2017