LISA DAWN RUSSELL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012482

License Status

NOT RENEWED

Business

First Name

LISA

Middle

DAWN

Last Name

RUSSELL

Business Name

LISA DAWN RUSSELL

Original Issue Date

01/22/2015

Effective Date

03/30/2020

Expiration Date

08/31/2022

City

MOUNT VERNON

State

Zip

47620

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2022