LA DONNA S RUSSELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****36

License Status

ACTIVE

Business

First Name

LA DONNA

Middle

Last Name

RUSSELL

Business Name

LA DONNA S RUSSELL

Original Issue Date

09/23/2021

Effective Date

05/21/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60657

County

VERMILION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026