License holder summary

BEVERLY SOUTHAM is a Practical Nurse licensed to practice in Pennsylvania. The address on file for BEVERLY SOUTHAM is LEBANON PA 17042. This licensed professional license is not current. The license was granted 05/26/1976 and expired on 06/30/1998.

Pennsylvania

Department of State

BEVERLY SOUTHAM
Practical Nurse
License number
PN063035L
Date granted
05/26/1976
Date expires
06/30/1998
Class
Practical Nurse
Status
Deceased
Address
LEBANON PA 17042
palicensing.org
ID 37883112
LAST UPDATED 2024-02-22 10:48:29 UTC

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