ANN MARIE FREDERICK RUSSELL Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****96

License Status

INOPERATIVE

Business

First Name

ANN MARIE

Middle

FREDERICK

Last Name

RUSSELL

Business Name

ANN MARIE FREDERICK RUSSELL

Original Issue Date

04/22/2019

Effective Date

04/22/2019

Expiration Date

09/30/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020