License holder summary

KENNITHIA E SOUTHALL is a Certified Registered Nurse Practitioner licensed to practice in Pennsylvania. The address on file for KENNITHIA E SOUTHALL is Antioch TN 37013. This licensed professional license is current. The license was granted 09/18/2014 and expired on 04/30/2018.

Pennsylvania

Department of State

KENNITHIA E SOUTHALL
Certified Registered Nurse Practitioner
License number
SP014233
Date granted
09/18/2014
Date expires
04/30/2018
Class
Certified Registered Nurse Practitioner
Status
Active
Address
Antioch TN 37013
palicensing.org
ID 37706950
LAST UPDATED 2024-03-07 21:25:26 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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