LISA MARY RUSSELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000683

License Status

ACTIVE

Business

First Name

LISA MARY

Last Name

RUSSELL

Business Name

LISA MARY RUSSELL

Original Issue Date

06/08/2001

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/04/2026