JOHN M RUSSELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****07

License Status

ACTIVE

Business

First Name

JOHN

Middle

Last Name

RUSSELL

Business Name

JOHN M RUSSELL

Original Issue Date

11/06/2019

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/18/2026