JUDITH RUSSIAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041122790

License Status

NOT RENEWED

Business

First Name

JUDITH

Last Name

RUSSIAN

Business Name

JUDITH RUSSIAN

Original Issue Date

09/07/1967

Effective Date

09/07/1967

Expiration Date

05/31/2006

City

TILTON

State

Zip

61833

County

VERMILION

Ever Disciplined

LastModifiedDate

10/09/2006