ELISSA M RUSSELL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008946

License Status

INACTIVE

Business

First Name

ELISSA

Middle

Last Name

RUSSELL

Business Name

ELISSA M RUSSELL

Original Issue Date

07/29/2011

Effective Date

04/17/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/17/2018