BROOKE ANA RUSSELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209028965

License Status

ACTIVE

Business

First Name

BROOKE

Middle

ANA

Last Name

RUSSELL

Business Name

BROOKE ANA RUSSELL

Original Issue Date

12/05/2023

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

FISHERS

State

Zip

46038

Ever Disciplined

LastModifiedDate

03/02/2026