JOHN M RUSSELL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

INACTIVE

Business

First Name

JOHN

Middle

Last Name

RUSSELL

Business Name

JOHN M RUSSELL

Original Issue Date

07/22/2014

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/14/2018