DATHEL DENNIS RUSSELL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041163899

License Status

INACTIVE

Business

First Name

DATHEL DENNIS

Last Name

RUSSELL

Business Name

DATHEL DENNIS RUSSELL

Original Issue Date

10/24/1975

Effective Date

10/24/1975

Expiration Date

05/31/1992

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/27/2006