MIRIAM RUSSOM - Registered Nurse License in Tennessee | # 041365253

MIRIAM RUSSOM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041365253

License Status

NOT RENEWED

Business

N

First Name

MIRIAM

Last Name

RUSSOM

Business Name

MIRIAM RUSSOM

Original Issue Date

12/10/2007

Effective Date

04/15/2014

Expiration Date

05/31/2016

State

TN

Ever Disciplined

N

LastModifiedDate

07/11/2016