License holder summary

MARK THOMAS SOUTHALL is a Graduate Registered Nurse Permit licensed to practice in Pennsylvania. The address on file for MARK THOMAS SOUTHALL is Elizabethtown PA 17022. This licensed professional license is not current. The license was granted 05/20/2005 and expired on 05/31/2006.

Pennsylvania

Department of State

MARK THOMAS SOUTHALL
Graduate Registered Nurse Permit
License number
TGRN036765
Date granted
05/20/2005
Date expires
05/31/2006
Class
Graduate Registered Nurse Permit
Status
Voided
Address
Elizabethtown PA 17022
palicensing.org
ID 37768090
LAST UPDATED 2024-01-28 10:20:06 UTC

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