SR EDMUND RUSSIAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041058223

License Status

INACTIVE

Business

First Name

SR EDMUND

Last Name

RUSSIAN

Business Name

SR EDMUND RUSSIAN

Original Issue Date

11/24/1947

Effective Date

11/24/1947

City

SPRINGFIELD

State

Zip

62705

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006