TARA ANNE RUSSELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041306539

License Status

NOT RENEWED

Business

First Name

TARA

Middle

ANNE

Last Name

RUSSELL

Business Name

TARA ANNE RUSSELL

Original Issue Date

10/15/1997

Effective Date

03/20/2014

Expiration Date

05/31/2016

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

07/11/2016