Michael Rene Southwood
ExpiredIllinois license 041213245
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041213245
- Status
- Expired (Not Renewed)
- First issued
- November 4, 1982
- Expired
- September 30, 2020
- License holder
- Michael Rene Southwood
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 03/13/2018
Contact
Canton, IL 61520
Fulton County