DWAYNE ARTHUR RUSSELL - Registered Nurse License in Illinois | # 041338542

DWAYNE ARTHUR RUSSELL

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041338542

License Status

NOT RENEWED

Business

N

First Name

DWAYNE

Middle

ARTHUR

Last Name

RUSSELL

Business Name

DWAYNE ARTHUR RUSSELL

Original Issue Date

12/17/2003

Effective Date

05/03/2010

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

07/10/2012