EDWARD J RUSSOW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041342860

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

Last Name

RUSSOW

Business Name

EDWARD J RUSSOW

Original Issue Date

09/22/2004

Effective Date

03/11/2010

Expiration Date

05/31/2012

City

TWIN FALLS

State

Zip

83301

County

IDAHO

Ever Disciplined

LastModifiedDate

07/10/2012