DATHEL RUSSELL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017427

License Status

INACTIVE

Business

First Name

DATHEL

Last Name

RUSSELL

Business Name

DATHEL RUSSELL

Original Issue Date

12/19/1966

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005