License holder summary

KIMBERLY ANN SOUTHERLY is a Nursing - Licensed Practical Nurse licensed to practice in Maine. The address on file for KIMBERLY ANN SOUTHERLY is 156 OLD DRESDEN RD, WISCASSET, ME 04578-4275. This licensed professional license is not current. The license was granted 11/15/2005 and expired on 08/24/2007.

Maine

Office of Professional and Occupational Regulation

KIMBERLY ANN SOUTHERLY
Nursing - Licensed Practical Nurse
License number
LPN12449
Date granted
11/15/2005
Date expires
08/24/2007
Class
Nursing - Licensed Practical Nurse
Status
Failed to Renew
Address
156 OLD DRESDEN RD, WISCASSET, ME 04578-4275
mainelicensing.org
ID 21313811
LAST UPDATED 2024-03-15 16:31:46 UTC

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