ANN MARIE FREDERICK RUSSELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

ACTIVE

Business

First Name

ANN MARIE

Middle

FREDERICK

Last Name

RUSSELL

Business Name

ANN MARIE FREDERICK RUSSELL

Original Issue Date

10/09/2019

Effective Date

04/29/2024

Expiration Date

05/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026