TERRI L RUSSELL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

INACTIVE

Business

First Name

TERRI L

Last Name

RUSSELL

Business Name

TERRI L RUSSELL

Original Issue Date

01/16/2004

Effective Date

08/25/2025

Expiration Date

05/31/2026

City

GENEVA

State

Zip

60134

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/25/2025