Justin Southward is a health care provider licensed by State of Washington, Department of Health. The credential number is #DE70062048. The credential type is Dentist License.
| Credential Number | DE70062048 |
| Full Name | Justin Southward |
| Last Name | Southward |
| First Name | Justin |
| Credential Type | Dentist License |
| Status | ACTIVE |
| Birth Year | 1990 |
| CE Due Date | 2029-05-15 (Continuing Education Due) |
| First Issue Date | 2026-01-09 |
| Last Issue Date | 2026-01-09 |
| Expiration Date | 2026-05-15 |
| Action Taken | No |
| Street Address |
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| Provider Name | Credential Type | First Issue Date | Expiration Date |
|---|---|---|---|
| Jerry Yuan | Osteopathic Physician & Surgeon License | 2026-01-12 | 2027-08-02 |
| Ann Schoen | Advanced Registered Nurse Practitioner License | 2026-01-12 | 2027-03-19 |
| Tori Michelle Molloy | Massage Therapist License | 2026-03-05 | 2025-03-05 |
| Elisabeth Garcia Zamudio | Nursing Technician Registration | 2026-01-12 | 2027-04-09 |
| Ivonne Mojica Lopez | Medical Assistant Certification | 2026-01-12 | 2027-03-27 |
| Dafne Delgado Tolman | Chiropractor License | 2026-01-12 | 2027-03-10 |
| Heidi Dalgaard Murphy | Dental Hygiene Initial Temporary License | 2026-01-12 | 2031-01-12 |
| Shelby Lea-Ann Bledsoe | Dietitian Certification | 2026-01-12 | 2027-03-26 |
| Cristina Marie Neuenschwander | Mental Health Counselor License | 2026-01-12 | 2027-04-12 |
| Marcela Ramos | Licensed Practical Nurse | 2026-01-12 | 2027-04-02 |
| Provider Name | Credential Type | First Issue Date | Expiration Date |
|---|---|---|---|
| Justin Luu | Registered Nurse License | 2022-03-17 | 2023-03-01 |
| Tara Southward | Psychologist License | ||
| Blaine Kenneth Southward | Registered Nurse License | 2014-05-09 | 2015-02-18 |
| Justin E G Foy | Counselor Registration | 2006-10-27 | 2007-09-05 |
| Brooke Lynne Southward | Physical Therapist License | 1980-11-12 | 1981-06-03 |
| Wilton R Southward | Registered Nurse License | 1968-07-05 | 1985-09-28 |
| Shonnie Lyn Southward | Dental Hygiene Renewable Temporary License | 2002-07-11 | 2003-12-18 |
| Justin Kim | Optometrist License | 2015-09-21 | 2020-05-20 |
| Justin C Lee | Physician And Surgeon License | 2003-05-12 | 2025-10-05 |
| Patricia Milloy Southward | Registered Nurse License | 1944-07-22 | 1972-12-31 |
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This dataset includes 2 million health care providers registered with Washington State Department of Health. Health care professionals are licensed by the Washington State Department of Health as a service to the public. Each provider is registered with credential number, credential type, full name, issue location, etc.