RUSSELL DWAYNE JOHNSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041464535

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

DWAYNE

Last Name

JOHNSON

Business Name

RUSSELL DWAYNE JOHNSON

Original Issue Date

05/04/2018

Effective Date

09/23/2020

Expiration Date

08/31/2022

City

HENSLEY

State

Zip

72065

Ever Disciplined

LastModifiedDate

10/14/2022