VICTORIA L RUSSELL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

NOT RENEWED

Business

First Name

VICTORIA L

Last Name

RUSSELL

Business Name

VICTORIA L RUSSELL

Original Issue Date

10/21/2021

Effective Date

05/15/2022

Expiration Date

06/30/2024

City

OSWEGO

State

Zip

60543

County

KENDALL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025