Denise S Southern
ExpiredIllinois license 041189451
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041189451
- Status
- Expired (Not Renewed)
- First issued
- October 17, 1979
- Expired
- May 31, 1984
- License holder
- Denise S Southern
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 10/17/1979
Contact
Champaign, IL 61820
Champaign County