RUSSELL L HENDERSON Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

INOPERATIVE

Business

First Name

RUSSELL

Middle

Last Name

HENDERSON

Business Name

RUSSELL L HENDERSON

Original Issue Date

04/23/2013

Effective Date

04/08/2014

Expiration Date

05/31/2016

City

SOUTH JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

04/07/2014