ELEANOR M RUSSELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

ACTIVE

Business

First Name

ELEANOR

Middle

Last Name

RUSSELL

Business Name

ELEANOR M RUSSELL

Original Issue Date

06/24/2004

Effective Date

05/11/2024

Expiration Date

05/31/2026

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026