KATHLEEN ANN SOUTHARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041131675

License Status

NOT RENEWED

Business

First Name

KATHLEEN ANN

Last Name

SOUTHARD

Business Name

KATHLEEN ANN SOUTHARD

Original Issue Date

08/26/1969

Effective Date

05/22/2014

Expiration Date

05/31/2016

City

BARABOO

State

Zip

53913

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/11/2016