KELLY ANNE RUSS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041489179

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANNE

Last Name

RUSS

Business Name

KELLY ANNE RUSS

Original Issue Date

12/13/2019

Effective Date

09/22/2020

Expiration Date

08/31/2022

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/14/2022