KELLY A RUSSOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041437957

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

RUSSOM

Business Name

KELLY A RUSSOM

Original Issue Date

02/02/2016

Effective Date

08/31/2022

Expiration Date

06/30/2024

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

02/05/2025