SAMANTHA RUSSELL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041456914

License Status

INACTIVE

Business

First Name

SAMANTHA

Last Name

RUSSELL

Business Name

SAMANTHA RUSSELL

Original Issue Date

08/15/2017

Effective Date

09/14/2020

Expiration Date

08/31/2022

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

05/25/2022